Indiana
Professional Licensing Agency
Michelle Lynn Wallace
Dental Hygienist
License number
13004797A
Date granted
07/10/2000
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Leo IN 46765
indianalicensing.org
ID 5207659
LAST UPDATED 2024-02-11 14:06:55 UTC
LAST UPDATED 2024-02-11 14:06:55 UTC
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