Indiana
Professional Licensing Agency
Tom Fuller, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902785
Date granted
08/24/2004
Date expires
07/13/2013
Class
Radiology - Radiation Facility Dental
Status
Expired
Address
760 Albert Street, Wabash IN 46992-0000
indianalicensing.org
ID 24936127
LAST UPDATED 2024-02-27 12:57:39 UTC
LAST UPDATED 2024-02-27 12:57:39 UTC
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