Indiana
Professional Licensing Agency
Clayton Gray Hicks
Dental Intern Permit
License number
42000388A
Date granted
06/17/2009
Date expires
06/30/2011
Class
Dental Intern Permit
Status
Expired
Address
Carmel IN 46032
indianalicensing.org
ID 5255778
LAST UPDATED 2025-02-09 05:49:45 UTC
LAST UPDATED 2025-02-09 05:49:45 UTC
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