Indiana
Professional Licensing Agency
Wiley Green, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902445
Date granted
08/22/2003
Date expires
12/14/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1961 South Jackson Street, Frankfort IN 46041-3359
indianalicensing.org
ID 24932448
LAST UPDATED 2024-02-05 22:21:59 UTC
LAST UPDATED 2024-02-05 22:21:59 UTC
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