License holder summary

PHYLLIS LEA KENWORTHY is a Dental Hygienist licensed to practice in Indiana. The address on file for PHYLLIS LEA KENWORTHY is BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 06/23/1970 and expired on 12/31/1983.

Indiana

Professional Licensing Agency

PHYLLIS LEA KENWORTHY
Dental Hygienist
License number
13000755A
Date granted
06/23/1970
Date expires
12/31/1983
Class
Dental Hygienist
Status
Expired
Address
BLOOMINGTON IN 47401
indianalicensing.org
ID 5193132
LAST UPDATED 2024-03-20 23:23:19 UTC

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