Indiana
Professional Licensing Agency
Shane Travis Cope
Dental Anesthesia Permit
License number
43000314A
Date granted
02/12/2010
Date expires
03/01/2016
Class
Dental Anesthesia Permit
Status
Active
Address
Whitestown IN 46075
indianalicensing.org
ID 5151583
LAST UPDATED 2024-04-08 21:20:16 UTC
LAST UPDATED 2024-04-08 21:20:16 UTC
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