Indiana
Professional Licensing Agency
Doresa M. Puckett
Radiologic Technologist
License number
XT015011
Date granted
10/03/2006
Date expires
10/03/2016
Class
Radiologic Technologist
Status
Active
Address
Fishers IN 46038
indianalicensing.org
ID 8479009
LAST UPDATED 2026-04-07 16:49:25 UTC
LAST UPDATED 2026-04-07 16:49:25 UTC
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