Indiana
Professional Licensing Agency
Timothy Allan Bacsa
Dental Anesthesia Permit
License number
43000338A
Date granted
07/05/2011
Date expires
03/01/2016
Class
Dental Anesthesia Permit
Status
Active
Address
Indianapolis IN 46203
indianalicensing.org
ID 5151599
LAST UPDATED 2024-02-03 21:33:26 UTC
LAST UPDATED 2024-02-03 21:33:26 UTC
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