License holder summary

Martha Jean Moriconi is a Dental Hygienist licensed to practice in Indiana. The address on file for Martha Jean Moriconi is South Bend IN 46614. This licensed professional license is not current. The license was granted 06/11/1963 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Martha Jean Moriconi
Dental Hygienist
License number
13000349A
Date granted
06/11/1963
Date expires
03/01/2012
Class
Dental Hygienist
Status
Expired
Address
South Bend IN 46614
indianalicensing.org
ID 5234424
LAST UPDATED 2024-04-20 15:10:02 UTC

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