Indiana
Professional Licensing Agency
Gennifer M. Willard
Dental Radiographer
License number
XT012645
Date expires
09/08/2015
Class
Dental Radiographer
Status
Active
Address
Decatur IN 46733
indianalicensing.org
ID 8461401
LAST UPDATED 2026-06-09 13:08:34 UTC
LAST UPDATED 2026-06-09 13:08:34 UTC
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