Indiana
Professional Licensing Agency
Thomas L. Prather, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902220
Date granted
09/18/2003
Date expires
04/13/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1941 West Boulevard, Kokomo IN 46902-6027
indianalicensing.org
ID 24934086
LAST UPDATED 2024-04-21 08:57:14 UTC
LAST UPDATED 2024-04-21 08:57:14 UTC
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