Indiana
Professional Licensing Agency
Lisa Ann Johnson
Dental Hygienist
License number
13006980A
Date granted
06/21/2011
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46835
indianalicensing.org
ID 5205467
LAST UPDATED 2024-03-04 04:37:21 UTC
LAST UPDATED 2024-03-04 04:37:21 UTC
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