License holder summary

Michiana Oral & Maxillofacial Surgery is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Michiana Oral & Maxillofacial Surgery is 450 St. John Road, Suite 350, Michigan City IN 46360-7336. This licensed professional license is current. The license was granted 09/21/2004.

Indiana

Professional Licensing Agency

Michiana Oral & Maxillofacial Surgery
Radiology - Radiation Facility Dental
License number
XF902850
Date granted
09/21/2004
Class
Radiology - Radiation Facility Dental
Status
Active
Address
450 St. John Road, Suite 350, Michigan City IN 46360-7336
indianalicensing.org
ID 24934592
LAST UPDATED 2024-04-12 02:35:26 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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