Indiana
Professional Licensing Agency
Diane Lynn King-Small
Dental Hygienist
License number
13001378A
Date granted
06/21/1976
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
La Crosse IN 46348
indianalicensing.org
ID 5216968
LAST UPDATED 2024-02-28 01:56:56 UTC
LAST UPDATED 2024-02-28 01:56:56 UTC
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