License holder summary

Katy A. Shively is a Dental Radiographer licensed to practice in Indiana. The address on file for Katy A. Shively is Fort Wayne IN 46814. This licensed professional license is current. The license was granted 10/17/2011 and expired on 10/17/2015.

Indiana

Professional Licensing Agency

Katy A. Shively
Dental Radiographer
License number
XT020019
Date granted
10/17/2011
Date expires
10/17/2015
Class
Dental Radiographer
Status
Active
Address
Fort Wayne IN 46814
indianalicensing.org
ID 8462613
LAST UPDATED 2024-04-28 10:37:28 UTC

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