Ken J. Roller, D.D.S.
Radiology - Radiation Machine Dental
Indiana XM006916 Closed Facility
This Indiana license was held by Ken J. Roller, D.D.S.. The license is no longer active. It was granted on 03/23/2001 and expired on 03/23/2004
LICENSE DETAILS
- License Number: XM006916
- Category: Radiation Machine - Dental
- Status: Closed Facility
- Date Granted: 03/23/2001 (over 23 years ago)
- Expiry Date: 03/23/2004 (over 20 years ago)
LOCATIONS
A Address
Tube # - 1A, Fort Wayne IN 46804-6833