License holder summary

Tara J. Bourassa is a Dental Hygienist licensed to practice in Indiana. The address on file for Tara J. Bourassa is Fort Wayne IN 46835. This licensed professional license is current. The license was granted 07/02/2014 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Tara J. Bourassa
Dental Hygienist
License number
13007746A
Date granted
07/02/2014
Date expires
03/01/2016
Class
Dental Hygienist
Status
Active
Address
Fort Wayne IN 46835
indianalicensing.org
ID 27546987
LAST UPDATED 2024-04-06 13:12:07 UTC

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