Indiana
Professional Licensing Agency
Elizabeth Kay Petersen
Dental Hygienist
License number
13000772A
Date granted
06/23/1970
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46819
indianalicensing.org
ID 5204815
LAST UPDATED 2024-03-16 11:50:41 UTC
LAST UPDATED 2024-03-16 11:50:41 UTC
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