Indiana
Professional Licensing Agency
Laurie A. Jacobsen
Dental Hygienist
License number
13002743A
Date granted
11/24/1986
Date expires
03/01/1994
Class
Dental Hygienist
Status
Expired
Address
Fort Wayne IN 46815
indianalicensing.org
ID 5205376
LAST UPDATED 2024-04-20 06:49:48 UTC
LAST UPDATED 2024-04-20 06:49:48 UTC
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