Indiana
Professional Licensing Agency
Alyssa J. Koontz
Dental Radiographer
License number
XT019276
Date granted
01/18/2011
Date expires
01/18/2015
Class
Dental Radiographer
Status
Active
Address
Ellettsville IN 47429-9309
indianalicensing.org
ID 8461751
LAST UPDATED 2026-07-09 22:46:44 UTC
LAST UPDATED 2026-07-09 22:46:44 UTC
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