Indiana
Professional Licensing Agency
Suzan V. Harris
Dental Intern Permit
License number
42000309A
Date granted
09/10/2004
Date expires
09/10/2005
Class
Dental Intern Permit
Status
Expired
Address
Indianapolis IN 46268
indianalicensing.org
ID 5261488
LAST UPDATED 2026-04-16 20:02:29 UTC
LAST UPDATED 2026-04-16 20:02:29 UTC
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