Indiana
Professional Licensing Agency
Jill S. Stout
Dental Radiographer
License number
XT020485
Date granted
05/10/2012
Date expires
05/10/2014
Class
Dental Radiographer
Status
Expired
Address
Hammond IN 46323-1038
indianalicensing.org
ID 8463945
LAST UPDATED 2024-03-16 08:45:18 UTC
LAST UPDATED 2024-03-16 08:45:18 UTC
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