License holder summary

Jerrel Leisa Fair is a Dental Hygienist licensed to practice in Indiana. The address on file for Jerrel Leisa Fair is Shelbyville IN 46176. This licensed professional license is current. The license was granted 07/10/1972 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jerrel Leisa Fair
Dental Hygienist
License number
13001074A
Date granted
07/10/1972
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Shelbyville IN 46176
indianalicensing.org
ID 5233174
LAST UPDATED 2024-02-07 20:25:48 UTC

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