License holder summary

Prairie Street Family is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for Prairie Street Family is 2735 Prairie Street, Elkhart IN 46517-2108. This licensed professional license is not current. The license was granted 10/22/1971 and expired on 01/31/2010.

Indiana

Professional Licensing Agency

Prairie Street Family
Dentistry Board - Dental Corporation
License number
54000054A
Date granted
10/22/1971
Date expires
01/31/2010
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
2735 Prairie Street, Elkhart IN 46517-2108
indianalicensing.org
ID 24743861
LAST UPDATED 2024-04-25 00:16:28 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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