License holder summary

Richetta Annice Willis is a Dental Hygienist licensed to practice in Indiana. The address on file for Richetta Annice Willis is South Bend IN 46628. This licensed professional license is current. The license was granted 06/22/1965 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Richetta Annice Willis
Dental Hygienist
License number
13000436A
Date granted
06/22/1965
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
South Bend IN 46628
indianalicensing.org
ID 5234647
LAST UPDATED 2024-03-04 21:17:05 UTC

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