License holder summary

Tana Bontrager is a Dental Hygienist licensed to practice in Indiana. The address on file for Tana Bontrager is Shipshewana IN 46565. This licensed professional license is current. The license was granted 12/06/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Tana Bontrager
Dental Hygienist
License number
13005599A
Date granted
12/06/2004
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Shipshewana IN 46565
indianalicensing.org
ID 5233393
LAST UPDATED 2024-04-18 09:09:03 UTC

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