License holder summary

Periodontal Group, PC is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Periodontal Group, PC is 9105 A Indianapolis Boulevard, Suite 201, Highland IN 46322-2505. This licensed professional license is current. The license was granted 06/20/2005 and expired on 06/17/2017.

Indiana

Professional Licensing Agency

Periodontal Group, PC
Radiology - Radiation Facility Dental
License number
XF902974
Date granted
06/20/2005
Date expires
06/17/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
9105 A Indianapolis Boulevard, Suite 201, Highland IN 46322-2505
indianalicensing.org
ID 24932942
LAST UPDATED 2024-04-02 03:09:43 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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