License holder summary

NORTHWEST PERIODONTICS P C is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for NORTHWEST PERIODONTICS P C is 9105 A INDIANAPOLIS BLVD #201, HIGHLAND IN 46322. This licensed professional license is not current. The license was granted 12/31/1991 and expired on 01/31/2000.

Indiana

Professional Licensing Agency

NORTHWEST PERIODONTICS P C
Dentistry Board - Dental Corporation
License number
54000791A
Date granted
12/31/1991
Date expires
01/31/2000
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
9105 A INDIANAPOLIS BLVD #201, HIGHLAND IN 46322
indianalicensing.org
ID 24744906
LAST UPDATED 2024-04-09 11:37:43 UTC

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