Indiana
Professional Licensing Agency
Mary Mierwa Pallok
Dental Hygienist
License number
13001826A
Date granted
06/21/1979
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Valparaiso IN 46385
indianalicensing.org
ID 5237449
LAST UPDATED 2024-02-25 08:07:42 UTC
LAST UPDATED 2024-02-25 08:07:42 UTC
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