License holder summary

Oral & Maxillofacial Surgery is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for Oral & Maxillofacial Surgery is ASSOCIATES P C, 4606 D EAST STATE BOULEVARD, FORT WAYNE IN 46815. This licensed professional license is not current. The license was granted 01/14/1972 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

Oral & Maxillofacial Surgery
Dentistry Board - Dental Corporation
License number
54000065A
Date granted
01/14/1972
Date expires
01/31/2004
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
ASSOCIATES P C, 4606 D EAST STATE BOULEVARD, FORT WAYNE IN 46815
indianalicensing.org
ID 24744315
LAST UPDATED 2024-05-01 21:11:16 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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