License holder summary

Thomas R. Clark, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Thomas R. Clark, D.D.S. is 3410 West Purdue Avenue, Muncie IN 47304-5267. This licensed professional license is current. The license was granted 06/14/2004 and expired on 01/28/2016.

Indiana

Professional Licensing Agency

Thomas R. Clark, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902657
Date granted
06/14/2004
Date expires
01/28/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
3410 West Purdue Avenue, Muncie IN 47304-5267
indianalicensing.org
ID 22437760
LAST UPDATED 2021-05-08 08:36:45 UTC

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