Indiana
Professional Licensing Agency
Pamela Tavenner Ford
Dental Hygienist
License number
13001712A
Date granted
06/20/1978
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Evansville IN 47712
indianalicensing.org
ID 5202395
LAST UPDATED 2024-03-01 20:59:12 UTC
LAST UPDATED 2024-03-01 20:59:12 UTC
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