Indiana
Professional Licensing Agency
Samantha J. Sparks
Dental Radiographer
License number
XT020728
Date granted
07/03/2012
Date expires
07/03/2016
Class
Dental Radiographer
Status
Active
Address
Anderson IN 46011
indianalicensing.org
ID 8458722
LAST UPDATED 2024-04-27 00:42:07 UTC
LAST UPDATED 2024-04-27 00:42:07 UTC
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