License holder summary

Tom Fuller, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Tom Fuller, D.D.S. is 760 Albert Street, Wabash IN 46992-0000. This licensed professional license is not current. The license was granted 08/24/2004 and expired on 07/13/2013.

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

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