Indiana
Professional Licensing Agency
Holly Lee Bloom
Dental Hygienist
License number
13003990A
Date granted
04/16/1996
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Brownsburg IN 46112
indianalicensing.org
ID 5194685
LAST UPDATED 2024-03-08 07:53:35 UTC
LAST UPDATED 2024-03-08 07:53:35 UTC
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