Indiana
Professional Licensing Agency
Matthew W. Hearn
Dental Anesthesia Permit
License number
43000265A
Date granted
04/04/2005
Date expires
03/01/2016
Class
Dental Anesthesia Permit
Status
Active
Address
Valparaiso IN 46383
indianalicensing.org
ID 5158805
LAST UPDATED 2024-02-21 08:12:21 UTC
LAST UPDATED 2024-02-21 08:12:21 UTC
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