Indiana
Professional Licensing Agency
Amanda Dolezal
Dental Radiographer
License number
XT012763
Date expires
10/27/2005
Class
Dental Radiographer
Status
Expired
Address
North Judson IN 46366-8810
indianalicensing.org
ID 8467996
LAST UPDATED 2026-04-11 23:29:15 UTC
LAST UPDATED 2026-04-11 23:29:15 UTC
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