Indiana
Professional Licensing Agency
Timothy Jay Bussick
Dental Intern Permit
License number
42000056A
Date granted
05/31/1994
Date expires
05/30/1995
Class
Dental Intern Permit
Status
Expired
Address
Fort Wayne IN 46804-2231
indianalicensing.org
ID 5258565
LAST UPDATED 2024-03-21 03:35:43 UTC
LAST UPDATED 2024-03-21 03:35:43 UTC
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