Indiana
Professional Licensing Agency
Amelia Ellen Hazlewood
Dental Hygienist
License number
13001653A
Date granted
06/20/1978
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Granger IN 46530-4245
indianalicensing.org
ID 5207705
LAST UPDATED 2024-02-08 13:18:42 UTC
LAST UPDATED 2024-02-08 13:18:42 UTC
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