Indiana
Professional Licensing Agency
Dana M. Roark
Dental Radiographer
License number
XT017191
Date granted
10/20/2008
Date expires
10/20/2016
Class
Dental Radiographer
Status
Active
Address
Hammond IN 46323-2718
indianalicensing.org
ID 8463927
LAST UPDATED 2024-02-13 02:40:30 UTC
LAST UPDATED 2024-02-13 02:40:30 UTC
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