Indiana
Professional Licensing Agency
Suzanne M. De Ball
Dental Intern Permit
License number
42000174A
Date granted
11/29/1999
Date expires
11/29/2000
Class
Dental Intern Permit
Status
Superceded
Address
Chandler AZ 85248
indianalicensing.org
ID 5256080
LAST UPDATED 2024-02-15 20:30:27 UTC
LAST UPDATED 2024-02-15 20:30:27 UTC
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