Indiana
Professional Licensing Agency
Jane Ann Roth
Dental Hygienist
License number
13000692A
Date granted
06/20/1969
Date expires
03/01/2000
Class
Dental Hygienist
Status
Expired
Address
Goshen IN 46528
indianalicensing.org
ID 5207423
LAST UPDATED 2026-04-30 22:52:00 UTC
LAST UPDATED 2026-04-30 22:52:00 UTC
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