Indiana
Professional Licensing Agency
Kollette A. Gillam
Dental Radiographer
License number
XT018222
Date granted
10/23/2009
Date expires
10/23/2015
Class
Dental Radiographer
Status
Active
Address
Flora IN 46929-1621
indianalicensing.org
ID 8462345
LAST UPDATED 2024-04-16 05:39:41 UTC
LAST UPDATED 2024-04-16 05:39:41 UTC
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