License holder summary

Periodontists of the Tri-State, PLLC is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Periodontists of the Tri-State, PLLC is 410 West Street, Madison IN 47250-3302. This licensed professional license is not current. The license was granted 07/23/2007 and expired on 07/23/2010.

Indiana

Professional Licensing Agency

Periodontists of the Tri-State, PLLC
Radiology - Radiation Facility Dental
License number
XF903159
Date granted
07/23/2007
Date expires
07/23/2010
Class
Radiology - Radiation Facility Dental
Status
Closed Facility
Address
410 West Street, Madison IN 47250-3302
indianalicensing.org
ID 24934391
LAST UPDATED 2024-05-14 04:48:16 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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