License holder summary

Southern Indiana Pediatric Dentistry is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Southern Indiana Pediatric Dentistry is 828 Auto Mall Road, Bloomington IN 47401. This licensed professional license is current. The license was granted 09/24/2003 and expired on 11/27/2015.

Indiana

Professional Licensing Agency

Southern Indiana Pediatric Dentistry
Radiology - Radiation Facility Dental
License number
XF902694
Date granted
09/24/2003
Date expires
11/27/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
828 Auto Mall Road, Bloomington IN 47401
indianalicensing.org
ID 24930822
LAST UPDATED 2024-03-09 11:47:39 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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