Indiana
Professional Licensing Agency
Indiana Rural Health Association
Dentistry Board - Ce Sponsor Dental
License number
98000255A
Date granted
03/09/2004
Date expires
03/02/2006
Class
Dentistry Board - Ce Sponsor Dental
Status
Expired
Address
PO Box 10366, Terre Haute IN 47801
indianalicensing.org
ID 24742410
LAST UPDATED 2024-03-15 20:08:38 UTC
LAST UPDATED 2024-03-15 20:08:38 UTC
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