Indiana
Professional Licensing Agency
Jacqueline D. Pullom
Dental Radiographer
License number
XT016404
Date granted
02/19/2008
Date expires
02/19/2016
Class
Dental Radiographer
Status
Active
Address
Evansville IN 47711
indianalicensing.org
ID 8461911
LAST UPDATED 2024-04-10 19:08:15 UTC
LAST UPDATED 2024-04-10 19:08:15 UTC
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