License holder summary

Southern Indiana Oral & Maxillofacial Surgery is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Southern Indiana Oral & Maxillofacial Surgery is 207 Sparks Avenue, Medical Arts Building, Suite 002, Clarksville IN 47129. This licensed professional license is current. The license was granted 06/28/2005 and expired on 09/09/2016.

Indiana

Professional Licensing Agency

Southern Indiana Oral & Maxillofacial Surgery
Radiology - Radiation Facility Dental
License number
XF900194
Date granted
06/28/2005
Date expires
09/09/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
207 Sparks Avenue, Medical Arts Building, Suite 002, Clarksville IN 47129
indianalicensing.org
ID 24931275
LAST UPDATED 2026-05-06 13:18:39 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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