Indiana
Professional Licensing Agency
Corinne Dianne Goforth
Dental Hygienist
License number
13001086A
Date granted
07/10/1974
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Indianapolis IN 46220
indianalicensing.org
ID 5212625
LAST UPDATED 2024-04-30 04:14:44 UTC
LAST UPDATED 2024-04-30 04:14:44 UTC
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