License holder summary

Heather N. Brisentine is a Radiologic Technologist licensed to practice in Indiana. The address on file for Heather N. Brisentine is Fort Wayne IN 46808-2187. This licensed professional license is current. The license was granted 06/23/2009 and expired on 06/23/2015.

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 2026-08-06 11:55:24 UTC

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