Indiana
Professional Licensing Agency
Johnnie M. Tidwell
Dental Radiographer
License number
XT017999
Date granted
08/06/2009
Date expires
08/06/2015
Class
Dental Radiographer
Status
Active
Address
Marshall IN 47859-0148
indianalicensing.org
ID 8466392
LAST UPDATED 2024-02-25 13:18:28 UTC
LAST UPDATED 2024-02-25 13:18:28 UTC
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