License holder summary

Rensselaer Family Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Rensselaer Family Dentistry is 210 North Front Street, Rensselaer IN 47978-2620. This licensed professional license is current. The license was granted 11/04/2004 and expired on 11/11/2016.

Indiana

Professional Licensing Agency

Rensselaer Family Dentistry
Radiology - Radiation Facility Dental
License number
XF902061
Date granted
11/04/2004
Date expires
11/11/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
210 North Front Street, Rensselaer IN 47978-2620
indianalicensing.org
ID 24935433
LAST UPDATED 2024-03-30 12:26:18 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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