Indiana
Professional Licensing Agency
Mid America Health
Radiology - Radiation Facility Dental
License number
XF900712
Date granted
03/26/2004
Date expires
07/10/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
Mr. Jose Lopez, 1499 Windhorst Way, Ste. 100, Greenwood IN 46143-8800
indianalicensing.org
ID 24932792
LAST UPDATED 2024-03-21 21:40:17 UTC
LAST UPDATED 2024-03-21 21:40:17 UTC
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