License holder summary

ORAL & MAXILLOFACIAL is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for ORAL & MAXILLOFACIAL is SURGERY OF WARSAW PC, 600 E WINONA AVENUE #7, WARSAW IN 46580. This licensed professional license is not current. The license was granted 07/07/1987 and expired on 01/31/1990.

Indiana

Professional Licensing Agency

ORAL & MAXILLOFACIAL
Dentistry Board - Dental Corporation
License number
54000699A
Date granted
07/07/1987
Date expires
01/31/1990
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
SURGERY OF WARSAW PC, 600 E WINONA AVENUE #7, WARSAW IN 46580
indianalicensing.org
ID 24748212
LAST UPDATED 2024-04-10 02:02:41 UTC

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