Indiana
Professional Licensing Agency
Whitney M. Moore
Dental Intern Permit
License number
42000170A
Date granted
08/03/1999
Date expires
08/08/2000
Class
Dental Intern Permit
Status
Expired
Address
Columbus OH 43206
indianalicensing.org
ID 5256606
LAST UPDATED 2026-07-13 08:32:50 UTC
LAST UPDATED 2026-07-13 08:32:50 UTC
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