License holder summary

T. Bormann, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for T. Bormann, D.D.S. is 220 Commerce Square, Michigan City IN 46360-3282. This licensed professional license is current. The license was granted 02/06/2004 and expired on 01/16/2016.

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

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