Indiana
Professional Licensing Agency
Jill Blackwood
Dental Radiographer
License number
XT004682
Date expires
05/01/2003
Class
Dental Radiographer
Status
Expired
Address
Leesburg IN 46538-9518
indianalicensing.org
ID 8465981
LAST UPDATED 2026-05-19 07:51:34 UTC
LAST UPDATED 2026-05-19 07:51:34 UTC
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