Indiana
Professional Licensing Agency
Noppamath Supornpun
Limited Dental Residency
License number
LDR120034
Date granted
10/30/2012
Date expires
06/30/2015
Class
Limited Dental Residency
Status
Active
Address
Indianapolis IN 46224
indianalicensing.org
ID 5340660
LAST UPDATED 2026-06-11 23:12:10 UTC
LAST UPDATED 2026-06-11 23:12:10 UTC
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