Indiana
Professional Licensing Agency
Periodontic Specialists, P.C.
Dentistry Board - Dental Corporation
License number
54001613A
Date granted
06/09/2008
Date expires
01/31/2012
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
7750 West Jefferson Blvd., Fort Wayne IN 46804
indianalicensing.org
ID 24744344
LAST UPDATED 2024-03-04 22:54:52 UTC
LAST UPDATED 2024-03-04 22:54:52 UTC
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