Indiana
Professional Licensing Agency
Jeffrey D. Bennett
Dental Anesthesia Permit
License number
43000255A
Date granted
02/13/2004
Date expires
03/01/2016
Class
Dental Anesthesia Permit
Status
Active
Address
Indianapolis IN 46202
indianalicensing.org
ID 5151262
LAST UPDATED 2023-12-31 09:59:49 UTC
LAST UPDATED 2023-12-31 09:59:49 UTC
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