Indiana
Professional Licensing Agency
Samantha L. Jackson
Dental Radiographer
License number
XT019440
Date granted
04/20/2011
Date expires
04/20/2013
Class
Dental Radiographer
Status
Expired
Address
Borden IN 47106-7715
indianalicensing.org
ID 8459643
LAST UPDATED 2024-04-30 22:12:47 UTC
LAST UPDATED 2024-04-30 22:12:47 UTC
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