License holder summary

Theresa Lynn Back is a Dental Hygienist licensed to practice in Indiana. The address on file for Theresa Lynn Back is Indianapolis IN 46236. This licensed professional license is current. The license was granted 07/03/1996 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Theresa Lynn Back
Dental Hygienist
License number
13004113A
Date granted
07/03/1996
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Indianapolis IN 46236
indianalicensing.org
ID 5221010
LAST UPDATED 2024-04-02 02:08:37 UTC

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