Indiana
Professional Licensing Agency
Lisa Ann Bultemeier
Dental Hygienist
License number
13004170A
Date granted
07/03/1997
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Decatur IN 46733
indianalicensing.org
ID 5200320
LAST UPDATED 2024-02-15 07:02:06 UTC
LAST UPDATED 2024-02-15 07:02:06 UTC
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