License holder summary

PHYLLIS MONTOMERY KEATY is a Dental Hygienist licensed to practice in Indiana. The address on file for PHYLLIS MONTOMERY KEATY is INDIANAPOLIS IN 46222. This licensed professional license is not current. The license was granted 05/01/1972 and expired on 09/30/1976.

Indiana

Professional Licensing Agency

PHYLLIS MONTOMERY KEATY
Dental Hygienist
License number
13000898A
Date granted
05/01/1972
Date expires
09/30/1976
Class
Dental Hygienist
Status
Expired
Address
INDIANAPOLIS IN 46222
indianalicensing.org
ID 5214651
LAST UPDATED 2024-05-09 20:11:25 UTC

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