License holder summary

SOUTHSIDE ORTHODONTIC is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for SOUTHSIDE ORTHODONTIC is 7750 MADISON AVENUE, INDIANAPOLIS IN 46227. This licensed professional license is not current. The license was granted 07/10/1969 and expired on 01/31/2004.

Indiana

Professional Licensing Agency

SOUTHSIDE ORTHODONTIC
Dentistry Board - Dental Corporation
License number
54000009A
Date granted
07/10/1969
Date expires
01/31/2004
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
7750 MADISON AVENUE, INDIANAPOLIS IN 46227
indianalicensing.org
ID 22437760
LAST UPDATED 2021-02-13 06:09:59 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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