Indiana
Professional Licensing Agency
BRETT MICHAEL QUACKENBUSH
Dental Intern Permit
License number
42000140A
Date granted
07/24/1998
Date expires
07/29/2000
Class
Dental Intern Permit
Status
Expired
Address
INDIANAPOLIS IN 46222
indianalicensing.org
ID 5260505
LAST UPDATED 2024-03-21 07:03:13 UTC
LAST UPDATED 2024-03-21 07:03:13 UTC
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