Indiana
Professional Licensing Agency
Kristian A. Derby
Dental Radiographer
License number
XT015187
Date granted
12/19/2006
Date expires
12/19/2014
Class
Dental Radiographer
Status
Active
Address
Coatesville IN 46121
indianalicensing.org
ID 8460662
LAST UPDATED 2024-04-29 08:56:09 UTC
LAST UPDATED 2024-04-29 08:56:09 UTC
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