Indiana
Professional Licensing Agency
Bethany Corinne Shively
Dental Hygienist
License number
13007271A
Date granted
07/12/2012
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Etna Green IN 46524
indianalicensing.org
ID 5201657
LAST UPDATED 2026-05-05 09:33:19 UTC
LAST UPDATED 2026-05-05 09:33:19 UTC
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