License holder summary

M.K. Dental Service is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for M.K. Dental Service is 4207 Lake Avenue, Fort Wayne IN 46815-7219. This licensed professional license is not current. The license was granted 12/17/2003 and expired on 01/30/2013.

Indiana

Professional Licensing Agency

M.K. Dental Service
Radiology - Radiation Facility Dental
License number
XF900089
Date granted
12/17/2003
Date expires
01/30/2013
Class
Radiology - Radiation Facility Dental
Status
Closed Facility
Address
4207 Lake Avenue, Fort Wayne IN 46815-7219
indianalicensing.org
ID 24932296
LAST UPDATED 2024-01-27 11:31:31 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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