Indiana
Professional Licensing Agency
Tina M. Shackelford
Dental Radiographer
License number
XT004093
Date expires
06/22/2007
Class
Dental Radiographer
Status
Expired
Address
Kokomo IN 46902-7310
indianalicensing.org
ID 8465346
LAST UPDATED 2024-03-15 05:07:39 UTC
LAST UPDATED 2024-03-15 05:07:39 UTC
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