Indiana
Professional Licensing Agency
Jabrea Lynne Bennett
Dental Intern Permit
License number
42000408A
Date granted
06/30/2011
Date expires
06/30/2012
Class
Dental Intern Permit
Status
Expired
Address
Fort Wayne IN 46835
indianalicensing.org
ID 5258539
LAST UPDATED 2024-04-08 07:21:01 UTC
LAST UPDATED 2024-04-08 07:21:01 UTC
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