License holder summary

Charlene D. Haitsma is a Dental Radiographer licensed to practice in Indiana. The address on file for Charlene D. Haitsma is Elkhart IN 46517-3442.

Indiana

Professional Licensing Agency

Charlene D. Haitsma
Dental Radiographer
License number
XT001390
Date expires
07/01/2016
Class
Dental Radiographer
Status
Active
Address
Elkhart IN 46517-3442
indianalicensing.org
ID 8461631
LAST UPDATED 2024-03-28 16:34:59 UTC

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