Wisconsin
Department of Safety and Professional Services
Black, Lydia R.
Dental Hygiene
License number
11281-16
Date granted
07/05/2012
Date expires
09/30/2015
Class
Dental Hygiene
Status
Active
wisconsinlicensing.org
ID 13791402
LAST UPDATED 2024-05-10 12:58:32 UTC
LAST UPDATED 2024-05-10 12:58:32 UTC
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