Indiana
Professional Licensing Agency
Derinda Jean Smith
Dental Hygienist
License number
13004592A
Date granted
07/15/1999
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46809
indianalicensing.org
ID 5204735
LAST UPDATED 2024-04-26 01:26:54 UTC
LAST UPDATED 2024-04-26 01:26:54 UTC
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