Indiana
Professional Licensing Agency
Kacie A Champagne
Dental Radiographer
License number
XT022807
Date granted
08/14/2014
Date expires
08/14/2016
Class
Dental Radiographer
Status
Active
Address
Fort Wayne IN 46835
indianalicensing.org
ID 29200808
LAST UPDATED 2024-03-06 01:54:41 UTC
LAST UPDATED 2024-03-06 01:54:41 UTC
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