Indiana
Professional Licensing Agency
David Y. Tambunan
Dental Anesthesia Permit
License number
43000205A
Date granted
11/07/1997
Date expires
03/01/2016
Class
Dental Anesthesia Permit
Status
Active
Address
Indianapolis IN 46236-9554
indianalicensing.org
ID 5151150
LAST UPDATED 2024-03-16 08:41:09 UTC
LAST UPDATED 2024-03-16 08:41:09 UTC
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