License holder summary

Lakeshore Family Dental, P.C. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Lakeshore Family Dental, P.C. is 1232 East Michigan Boulevard, Michigan City IN 46360-4856. This licensed professional license is current. The license was granted 07/08/2004 and expired on 07/17/2016.

Indiana

Professional Licensing Agency

Lakeshore Family Dental, P.C.
Radiology - Radiation Facility Dental
License number
XF900846
Date granted
07/08/2004
Date expires
07/17/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1232 East Michigan Boulevard, Michigan City IN 46360-4856
indianalicensing.org
ID 24934591
LAST UPDATED 2024-02-24 23:09:22 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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