Charles D. Coburn, D.D.S.

Radiology - Radiation Machine Dental

Indiana  XM008953   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 The license is no longer active.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: XM008953
  • Category: Radiation Machine - Dental
  • Status: Closed Facility
  • Date Granted: 09/01/2005 (over 18 years ago)
  • Expiry Date: 09/01/2008 (over 15 years ago)

LOCATIONS

A Address

Tube # - 3A, Merrillville IN 46410-6240