License holder summary

Ivy C. Crockett is a Dental Radiographer licensed to practice in Indiana. The address on file for Ivy C. Crockett is Elkhart IN 46514. This licensed professional license is current. The license was granted 01/03/2012 and expired on 01/03/2016.

Indiana

Professional Licensing Agency

Ivy C. Crockett
Dental Radiographer
License number
XT020194
Date granted
01/03/2012
Date expires
01/03/2016
Class
Dental Radiographer
Status
Active
Address
Elkhart IN 46514
indianalicensing.org
ID 8461655
LAST UPDATED 2024-04-22 00:20:08 UTC

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