Indiana
Professional Licensing Agency
Tiffany Michelle Wine
Dental Hygienist
License number
13007095A
Date granted
08/16/2011
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46835
indianalicensing.org
ID 5206243
LAST UPDATED 2024-03-22 06:22:15 UTC
LAST UPDATED 2024-03-22 06:22:15 UTC
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