Indiana
Professional Licensing Agency
Mandy Malone Black
Dental Hygienist
License number
13005995A
Date granted
10/17/2006
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Hagerstown IN 47346
indianalicensing.org
ID 5209826
LAST UPDATED 2024-04-10 21:25:18 UTC
LAST UPDATED 2024-04-10 21:25:18 UTC
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