License holder summary

Gustavo Mandujano is a Dental Hygienist licensed to practice in Indiana. The address on file for Gustavo Mandujano is Fort Wayne IN 46806. This licensed professional license is current. The license was granted 11/05/2014 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Gustavo Mandujano
Dental Hygienist
License number
13007823A
Date granted
11/05/2014
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46806
indianalicensing.org
ID 27546954
LAST UPDATED 2024-03-13 18:32:58 UTC

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