License holder summary

Brooke E. Stacy is a Dental Radiographer licensed to practice in Indiana. The address on file for Brooke E. Stacy is Fort Wayne IN 46835. This licensed professional license is current. The license was granted 03/15/2013 and expired on 03/15/2015.

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 2026-05-21 02:10:45 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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