Indiana
Professional Licensing Agency
Ricahrd S. Gillum, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902688
Date granted
07/27/2005
Date expires
04/25/2017
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1259 North SR 135, Suite E, Greenwood IN 46142-1026
indianalicensing.org
ID 24932802
LAST UPDATED 2024-03-11 16:33:20 UTC
LAST UPDATED 2024-03-11 16:33:20 UTC
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