Colleen Ann Baines

Dental Anesthesia Permit

Indiana  43000356A   Active

This Indiana license is held by Colleen Ann Baines. The license is currently active. It was granted on 09/11/2012 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 43000356A
  • Category: Dental Anesthesia Permit
  • Status: Active
  • Date Granted: 09/11/2012 (over 11 years ago)
  • Expiry Date: 03/01/2016 (about 8 years ago)

LOCATIONS

A Address

Lafayette IN 47905-5915