Indiana
Professional Licensing Agency
Jasmine Rose Stacy
Dental Hygienist
License number
13005067A
Date granted
06/21/2002
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Knox IN 46534
indianalicensing.org
ID 5216425
LAST UPDATED 2024-04-16 15:03:36 UTC
LAST UPDATED 2024-04-16 15:03:36 UTC
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