License holder summary

SOUTHERN INDIANA ORAL AND is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for SOUTHERN INDIANA ORAL AND is MAXILLOFACIAL SURGERY INC, 651 SOUTH HEBRON AVENUE, EVANSVILLE IN 47714. This licensed professional license is not current. The license was granted 01/01/1975 and expired on 01/31/1998.

Indiana

Professional Licensing Agency

SOUTHERN INDIANA ORAL AND
Dentistry Board - Dental Corporation
License number
54000133A
Date granted
01/01/1975
Date expires
01/31/1998
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
MAXILLOFACIAL SURGERY INC, 651 SOUTH HEBRON AVENUE, EVANSVILLE IN 47714
indianalicensing.org
ID 24743999
LAST UPDATED 2024-04-09 01:58:48 UTC

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