Indiana
Professional Licensing Agency
Sara Ann Sample
Dental Hygienist
License number
13007303A
Date granted
08/09/2012
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Bloomington IN 47403
indianalicensing.org
ID 5193181
LAST UPDATED 2024-02-27 04:31:38 UTC
LAST UPDATED 2024-02-27 04:31:38 UTC
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