Indiana
Professional Licensing Agency
Lisa Ann Wallace
Dental Hygienist
License number
13002966A
Date granted
12/12/1988
Date expires
03/01/1990
Class
Dental Hygienist
Status
Expired
Address
Boston MA 02115
indianalicensing.org
ID 5193616
LAST UPDATED 2024-05-03 18:56:45 UTC
LAST UPDATED 2024-05-03 18:56:45 UTC
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