Indiana
Professional Licensing Agency
Shawn Long, D.D.S., P.C.
Radiology - Radiation Facility Dental
License number
XF902223
Date granted
11/15/2003
Date expires
09/19/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
231 West Bristol, Elkhart IN 46514-3105
indianalicensing.org
ID 24931772
LAST UPDATED 2024-03-18 21:53:39 UTC
LAST UPDATED 2024-03-18 21:53:39 UTC
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