Indiana
Professional Licensing Agency
Penney Martin
Dental Hygienist
License number
13001137A
Date granted
07/10/1974
Date expires
03/01/2008
Class
Dental Hygienist
Status
Expired
Address
Modoc IN 47358
indianalicensing.org
ID 5222825
LAST UPDATED 2026-05-21 13:22:16 UTC
LAST UPDATED 2026-05-21 13:22:16 UTC
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