Charles D. Coburn, D.D.S.
Radiology - Radiation Facility Dental
Indiana XF900675 Closed Facility
This Indiana license was held by Charles D. Coburn, D.D.S.. The license is no longer active. It was granted on 09/01/2005 and expired on 09/01/2008
LICENSE DETAILS
- License Number: XF900675
- Category: Radiation Facility - Dental
- Status: Closed Facility
- Date Granted: 09/01/2005 (over 19 years ago)
- Expiry Date: 09/01/2008 (over 16 years ago)
LOCATIONS
A Address
8695 Conneticut Street, Merrillville IN 46410-6240