Indiana
Professional Licensing Agency
Lisa Susie O'Connor
Dental Hygienist
License number
13004750A
Date granted
07/10/2000
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46818
indianalicensing.org
ID 5191453
LAST UPDATED 2024-04-14 14:33:22 UTC
LAST UPDATED 2024-04-14 14:33:22 UTC
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