License holder summary

Midwest Oral & Maxillofacial Surgery is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Midwest Oral & Maxillofacial Surgery is Michael Iezkovitz, DDS, 516 Line Street, Columbia City IN 46725-1230. This licensed professional license is current. The license was granted 03/16/2005 and expired on 11/10/2014.

Indiana

Professional Licensing Agency

Midwest Oral & Maxillofacial Surgery
Radiology - Radiation Facility Dental
License number
XF900098
Date granted
03/16/2005
Date expires
11/10/2014
Class
Radiology - Radiation Facility Dental
Status
Active
Address
Michael Iezkovitz, DDS, 516 Line Street, Columbia City IN 46725-1230
indianalicensing.org
ID 24931321
LAST UPDATED 2024-05-06 18:21:31 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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