Indiana
Professional Licensing Agency
Amanda L. Shaw
Dental Radiographer
License number
XT010994
Date expires
09/29/2016
Class
Dental Radiographer
Status
Active
Address
Fort Wayne IN 46845
indianalicensing.org
ID 8462381
LAST UPDATED 2026-07-14 23:49:52 UTC
LAST UPDATED 2026-07-14 23:49:52 UTC
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