Indiana
Professional Licensing Agency
Vicki Jean Roth
Dental Hygienist
License number
13001017A
Date granted
06/15/1973
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46845
indianalicensing.org
ID 5206288
LAST UPDATED 2024-02-22 16:36:02 UTC
LAST UPDATED 2024-02-22 16:36:02 UTC
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