License holder summary

Oral Surgery Office is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Oral Surgery Office is 2204 Scott Street, Lafayette IN 47904-2996. This licensed professional license is current. The license was granted 01/20/1999 and expired on 04/24/2017.

Indiana

Professional Licensing Agency

Oral Surgery Office
Radiology - Radiation Facility Dental
License number
XF901613
Date granted
01/20/1999
Date expires
04/24/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
2204 Scott Street, Lafayette IN 47904-2996
indianalicensing.org
ID 24934196
LAST UPDATED 2024-05-04 14:29:51 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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