Indiana
Professional Licensing Agency
Jacqueline Davis Fouts
Dental Hygienist
License number
13001310A
Date granted
11/03/1975
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Nabb IN 47147
indianalicensing.org
ID 5224369
LAST UPDATED 2024-04-17 08:13:40 UTC
LAST UPDATED 2024-04-17 08:13:40 UTC
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