License holder summary

Michigan City Pediatric Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Michigan City Pediatric Dentistry is 211 Medical Plaza, Michigan City IN 46360-3364. This licensed professional license is current. The license was granted 05/26/2005 and expired on 05/03/2016.

Indiana

Professional Licensing Agency

Michigan City Pediatric Dentistry
Radiology - Radiation Facility Dental
License number
XF902231
Date granted
05/26/2005
Date expires
05/03/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
211 Medical Plaza, Michigan City IN 46360-3364
indianalicensing.org
ID 24934599
LAST UPDATED 2024-04-06 11:37:50 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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