Indiana
Professional Licensing Agency
Shane Christensen
Dental Intern Permit
License number
42000379A
Date granted
07/30/2008
Date expires
06/30/2009
Class
Dental Intern Permit
Status
Expired
Address
Indianapolis IN 46268
indianalicensing.org
ID 5261438
LAST UPDATED 2024-04-04 22:01:28 UTC
LAST UPDATED 2024-04-04 22:01:28 UTC
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