Indiana
Professional Licensing Agency
Jill Lavern Manvilla
Dental Hygienist
License number
13001391A
Date granted
06/21/1976
Date expires
03/01/1996
Class
Dental Hygienist
Status
Expired
Address
Lewiston NY 14092
indianalicensing.org
ID 5218884
LAST UPDATED 2026-05-09 19:28:13 UTC
LAST UPDATED 2026-05-09 19:28:13 UTC
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