Indiana
Professional Licensing Agency
Tammy Jo Shively
Dental Hygienist
License number
13004261A
Date granted
07/03/1997
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Logansport IN 46947
indianalicensing.org
ID 5219779
LAST UPDATED 2024-02-21 10:06:10 UTC
LAST UPDATED 2024-02-21 10:06:10 UTC
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