Indiana
Professional Licensing Agency
Tri State Periodontics, P.C.
Dentistry Board - Dental Corporation
License number
54000820A
Date granted
11/16/1992
Date expires
01/31/2004
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
ATTN: Patrick Donoghue, 709 Franklin Square, Michigan City IN 46360
indianalicensing.org
ID 24746625
LAST UPDATED 2026-03-16 14:32:16 UTC
LAST UPDATED 2026-03-16 14:32:16 UTC
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