Indiana
Professional Licensing Agency
Cheryl Marie Black
Dental Hygienist
License number
13005497A
Date granted
06/24/2004
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Decatur IN 46733
indianalicensing.org
ID 5200122
LAST UPDATED 2024-03-05 08:11:57 UTC
LAST UPDATED 2024-03-05 08:11:57 UTC
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