Indiana
Professional Licensing Agency
Brooke E. Stacy
Dental Radiographer
License number
XT021337
Date granted
03/15/2013
Date expires
03/15/2015
Class
Dental Radiographer
Status
Active
Address
Fort Wayne IN 46835
indianalicensing.org
ID 8462437
LAST UPDATED 2024-02-05 08:32:23 UTC
LAST UPDATED 2024-02-05 08:32:23 UTC
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