License holder summary

ORAL AND MAXILLOFACIAL SURGERY is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for ORAL AND MAXILLOFACIAL SURGERY is 1251 KEM ROAD SUITE D, MARION IN 46952. This licensed professional license is not current. The license was granted 01/17/1980 and expired on 01/31/1992.

Indiana

Professional Licensing Agency

ORAL AND MAXILLOFACIAL SURGERY
Dentistry Board - Dental Corporation
License number
54000345A
Date granted
01/17/1980
Date expires
01/31/1992
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
1251 KEM ROAD SUITE D, MARION IN 46952
indianalicensing.org
ID 24746413
LAST UPDATED 2024-02-11 23:14:02 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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