Indiana
Professional Licensing Agency
T. Bormann, D.D.S.
Radiology - Radiation Facility Dental
License number
XF900814
Date granted
02/06/2004
Date expires
01/16/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
220 Commerce Square, Michigan City IN 46360-3282
indianalicensing.org
ID 24934607
LAST UPDATED 2024-04-24 12:00:41 UTC
LAST UPDATED 2024-04-24 12:00:41 UTC
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