Indiana
Professional Licensing Agency
Lisa Renee Gullett
Dental Hygienist
License number
13005147A
Date granted
06/24/2002
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46845
indianalicensing.org
ID 5205486
LAST UPDATED 2024-03-24 20:16:53 UTC
LAST UPDATED 2024-03-24 20:16:53 UTC
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