Indiana
Professional Licensing Agency
ORAL AND MAXILLO FACIAL
Dentistry Board - Dental Corporation
License number
54000441A
Date granted
08/26/1981
Date expires
01/31/2004
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
SURGERY CENTER OF LAFAYETTE INC, 2020 UNION STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 24746133
LAST UPDATED 2024-04-30 16:46:12 UTC
LAST UPDATED 2024-04-30 16:46:12 UTC
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