DEPARTMENT OF INSURANCE
Course Attendance Information
PR00411: Anthem Blue Cross & Blue Shield
Experior Provider Number: S12618 
Provider Type: Independent
Certification Date: 8/20/1997

Address: 846 N. Senate Ave. Ste. 107
Indianapolis, IN 46202
Contact: Sue Sudhoff
Telephone: 317-960-3490
Status: Active
Termination Date: N/A
View Instructors

Course Attendees
Course Name :  Dental Plans, Providers & Payments
DOI IDNameCompletion Date Compliance Date
363057 Nakajima, Mary Lynn 08/23/2019 05/31/2021
651302 Butts, Kate Lauren 08/23/2019 04/30/2020
603376 Ammons, Jamie Lynn 08/23/2019 04/30/2020
684238 Fahrbach, Diane S 08/23/2019 10/31/2020
646284 Gibson, Margo Denise 08/14/2019 05/31/2020
366458 Hall, Karen Myers 08/14/2019 10/31/2020
630435 Shramovich, Kristin Starr 08/14/2019 09/30/2019
559617 Mccarty, Tammy Sue 08/14/2019 09/30/2020
727631 McDonald, Kimberley A 08/14/2019 04/30/2020
774683 Melvin, Janeen K 08/14/2019 08/31/2019
343787 Burden, Norma Jean 08/14/2019 11/30/2020
814772 Boone, Deanna Dawn 08/14/2019 08/31/2019
317243 Murphy, Karen P. 08/14/2019 03/31/2021
837501 Pitts, Pamela L 08/14/2019 12/31/2020
521415 Riesenberg, Gregory Joseph 08/14/2019 10/31/2020
726418 Ross, Kathy J 08/14/2019 11/30/2019
1021547 Dullaghan, Adam 08/14/2019 02/29/2020
618194 Crawford, Christy Lee 08/14/2019 06/30/2021
309994 Baker, Anita Maria 08/14/2019 09/30/2019
389316 Woosley, Elizabeth Ann 08/14/2019 09/30/2020
704043 Lyvers, Susan 08/14/2019 11/30/2019
812623 Mitro, Edward J 03/25/2014 07/31/2015
318400 Paine, Karen B 03/25/2014 06/30/2015
349179 Mitro, Edward J 05/10/2010 06/30/2010
337409 Garrett, Ramona Fae 05/10/2010 06/30/2011
343706 Moberly, Betty S 05/10/2010 06/30/2011
382864 Lovelace, Leslie Louise 05/10/2010 03/31/2012
383717 Halstead, Debra M 05/10/2010 07/31/2011
660596 Crawford, Anita L Sutherland 06/30/2008 03/31/2010
652346 McDaniel, Vickie Lynn 06/30/2008 02/28/2010
597420 Seiler, Glen Joseph 06/30/2008 12/31/2008
351673 Anderson, Mark J 06/30/2008 12/31/2009
355596 Mann, William B 06/30/2008 02/28/2009
618194 Crawford, Christy Lee 06/30/2008 06/30/2009
613817 Zanchi, Sandra Kay 06/30/2008 01/31/2009
363415 Shinkle, Bonnie Lee 06/30/2008 10/31/2009
310533 Boone, Connie G 06/30/2008 08/31/2008
340547 Fowler, Becky Lee 06/30/2008 06/30/2009
559617 Mccarty, Tammy Sue 06/30/2008 09/30/2008
304923 Wethington, George Thomas 06/30/2008 11/30/2008
368684 Smith, Bradley Caldwell 06/30/2008 08/31/2009
660234 Allen, Meagan T 06/30/2008 08/31/2008
582344 Stevenson, Joni L 06/30/2008 02/28/2009
380577 Payne, Cindy Leah Kelsey 06/30/2008 05/31/2009
362943 Durlauf, Jean W 06/30/2008 06/30/2008
645313 Summitt, Rebecca Lynn 06/20/2008 02/28/2009
506884 Lanning, Deborah Lynn 06/20/2008 06/30/2008
380980 Moessner, Deborah Louise 06/20/2008 09/30/2008
645312 Miah, Jarrett Andrew 06/20/2008 01/31/2009
386326 Metcalfe, Mark Alan 06/20/2008 02/28/2009
583126 Martin, Julia Scenna 06/20/2008 08/31/2008
557288 Gibson, Cheryl Ann 06/20/2008 06/30/2008
373424 Hilton, Liza A 06/20/2008 07/31/2008
511759 Hardesty, David Maurice 06/20/2008 11/30/2008
649984 Gibson, William Mitchell 06/20/2008 07/31/2008
355637 Cupps, Nancy Dale 06/20/2008 06/30/2008
354261 Carr, Celia D 06/20/2008 09/30/2009
343787 Burden, Norma Jean 06/20/2008 11/30/2008
537179 Hockaday, Edyth Lavenia 06/20/2008 12/31/2009

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