Indiana
Professional Licensing Agency
Michael E. Shambaugh, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902851
Date granted
04/14/2005
Date expires
04/28/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1320 Medical Park Drive, Fort Wayne IN 46825-5882
indianalicensing.org
ID 24932302
LAST UPDATED 2024-02-27 19:38:49 UTC
LAST UPDATED 2024-02-27 19:38:49 UTC
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