Indiana
Professional Licensing Agency
Heather N. Brisentine
Radiologic Technologist
License number
XT017737
Date granted
06/23/2009
Date expires
06/23/2015
Class
Radiologic Technologist
Status
Active
Address
Fort Wayne IN 46808-2187
indianalicensing.org
ID 8479412
LAST UPDATED 2024-05-04 00:51:01 UTC
LAST UPDATED 2024-05-04 00:51:01 UTC
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