Indiana
Professional Licensing Agency
Kelly R. Shouse
Dental Radiographer
License number
XT015268
Date granted
01/30/2007
Date expires
01/30/2015
Class
Dental Radiographer
Status
Active
Address
Petersburg IN 47567
indianalicensing.org
ID 8468410
LAST UPDATED 2024-03-27 16:19:33 UTC
LAST UPDATED 2024-03-27 16:19:33 UTC
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