License holder summary

Mallory D. Grant is a Dental Radiographer licensed to practice in Indiana. The address on file for Mallory D. Grant is Peru IN 46970-8134. This licensed professional license is current. The license was granted 07/17/2012 and expired on 07/17/2016.

Indiana

Professional Licensing Agency

Mallory D. Grant
Dental Radiographer
License number
XT020764
Date granted
07/17/2012
Date expires
07/17/2016
Class
Dental Radiographer
Status
Active
Address
Peru IN 46970-8134
indianalicensing.org
ID 8468396
LAST UPDATED 2024-03-24 13:37:25 UTC

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