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Case Number and Status

Case Number: I-200-17282-060122

Submitted on:

CERTIFIED

on:

Employment

From: 2017-10-16

To: 2020-10-15 (1,095 days)

Address

8003 Castleway Drive
Indianapolis, IN 46250

Phone

3175761335


Attorney Summary

Location
Minneapolis, MN

Job Summary

Job Title
General Dentist
City and State
South Bend, IN
County
St. Joseph

Soc Code
29-1021.00
Naics Code
Industry Code
621111