License holder summary

Charlotte D. Provost is a Dental Radiographer licensed to practice in Indiana. The address on file for Charlotte D. Provost is Indianapolis IN 46239-7911.

Indiana

Professional Licensing Agency

Charlotte D. Provost
Dental Radiographer
License number
XT007027
Date expires
11/19/2015
Class
Dental Radiographer
Status
Active
Address
Indianapolis IN 46239-7911
indianalicensing.org
ID 29201140
LAST UPDATED 2024-04-05 04:05:13 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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