Indiana
Professional Licensing Agency
Kimberly E. Ensley
Dental Radiographer
License number
XT020405
Date granted
04/02/2012
Date expires
04/02/2016
Class
Dental Radiographer
Status
Active
Address
Fort Wayne IN 46808-4359
indianalicensing.org
ID 8462634
LAST UPDATED 2024-02-20 01:31:57 UTC
LAST UPDATED 2024-02-20 01:31:57 UTC
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