License holder summary

Periodontal Associates of Lafayette is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Periodontal Associates of Lafayette is 415 North 26th Street, Suite 303, Lafayette IN 47904-3092. This licensed professional license is current. The license was granted 09/17/1998 and expired on 12/20/2016.

Indiana

Professional Licensing Agency

Periodontal Associates of Lafayette
Radiology - Radiation Facility Dental
License number
XF901582
Date granted
09/17/1998
Date expires
12/20/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
415 North 26th Street, Suite 303, Lafayette IN 47904-3092
indianalicensing.org
ID 24934197
LAST UPDATED 2024-02-25 22:47:20 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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