Indiana
Professional Licensing Agency
Connie L. Jacquay
Dental Radiographer
License number
XT014575
Date granted
06/12/2006
Date expires
06/12/2016
Class
Dental Radiographer
Status
Active
Address
Decatur IN 46733-8176
indianalicensing.org
ID 8461397
LAST UPDATED 2024-04-07 20:18:03 UTC
LAST UPDATED 2024-04-07 20:18:03 UTC
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