Indiana
Professional Licensing Agency
Sonya A. Shively, D.D.S., P.C.
Dentistry Board - Dental Corporation
License number
54001717A
Date granted
09/23/2011
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
4616 West Jefferson Boulevard, Fort Wayne IN 46804
indianalicensing.org
ID 24744364
LAST UPDATED 2026-04-28 22:58:07 UTC
LAST UPDATED 2026-04-28 22:58:07 UTC
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