Indiana
Professional Licensing Agency
Ingrid E Churchill
Dental Hygienist
License number
13001974A
Date granted
06/14/1980
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46805
indianalicensing.org
ID 5204914
LAST UPDATED 2024-04-15 09:05:38 UTC
LAST UPDATED 2024-04-15 09:05:38 UTC
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