Indiana
Professional Licensing Agency
Gayle S. Banic
Dental Radiographer
License number
XT010016
Date expires
09/21/2003
Class
Dental Radiographer
Status
Expired
Address
South Bend IN 46614-6519
indianalicensing.org
ID 8469618
LAST UPDATED 2023-10-26 01:10:26 UTC
LAST UPDATED 2023-10-26 01:10:26 UTC
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