License holder summary

Michiana Oral and Maxillofacial Surgery, Inc. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Michiana Oral and Maxillofacial Surgery, Inc. is 707 North Michigan, Suite 300, South Bend IN 46601-1067. This licensed professional license is current. The license was granted 01/24/2005 and expired on 02/07/2017.

Indiana

Professional Licensing Agency

Michiana Oral and Maxillofacial Surgery, Inc.
Radiology - Radiation Facility Dental
License number
XF902946
Date granted
01/24/2005
Date expires
02/07/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
707 North Michigan, Suite 300, South Bend IN 46601-1067
indianalicensing.org
ID 24935764
LAST UPDATED 2026-03-22 06:42:36 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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