Indiana
Professional Licensing Agency
Ashley N. Stout
Dental Radiographer
License number
XT020454
Date granted
04/26/2012
Date expires
04/26/2016
Class
Dental Radiographer
Status
Active
Address
Waveland IN 47989-8153
indianalicensing.org
ID 8470613
LAST UPDATED 2024-04-29 15:19:14 UTC
LAST UPDATED 2024-04-29 15:19:14 UTC
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