License holder summary

Dina Borneman is a Dental Hygienist licensed to practice in Indiana. The address on file for Dina Borneman is Elkhart IN 46516. This licensed professional license is not current. The license was granted 06/17/1964 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

Dina Borneman
Dental Hygienist
License number
13000399A
Date granted
06/17/1964
Date expires
03/01/2002
Class
Dental Hygienist
Status
Expired
Address
Elkhart IN 46516
indianalicensing.org
ID 5201254
LAST UPDATED 2024-03-15 09:27:37 UTC

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