Indiana
Professional Licensing Agency
Alisa Nicole Fields
Dental Hygienist
License number
13006724A
Date granted
06/18/2010
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Boonville IN 47601
indianalicensing.org
ID 5193437
LAST UPDATED 2024-04-12 00:45:32 UTC
LAST UPDATED 2024-04-12 00:45:32 UTC
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