Indiana
Professional Licensing Agency
Brooke Ellen Long
Dental Hygienist
License number
13004940A
Date granted
06/28/2001
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Daleville IN 47334
indianalicensing.org
ID 5199826
LAST UPDATED 2024-02-10 10:25:07 UTC
LAST UPDATED 2024-02-10 10:25:07 UTC
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