Indiana
Professional Licensing Agency
Periodontics Limited
Dentistry Board - Dental Corporation
License number
54000289A
Date granted
01/01/1979
Date expires
01/31/2010
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
7750 West Jefferson Blvd., Fort Wayne IN 46804-4175
indianalicensing.org
ID 24744346
LAST UPDATED 2024-02-21 16:30:06 UTC
LAST UPDATED 2024-02-21 16:30:06 UTC
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