Indiana
Professional Licensing Agency
Nicole V. Balasa
Dental Hygienist
License number
13004167A
Date granted
07/03/1997
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Nappanee IN 46550
indianalicensing.org
ID 5224450
LAST UPDATED 2024-03-08 05:47:51 UTC
LAST UPDATED 2024-03-08 05:47:51 UTC
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