License holder summary

Leisa Kucholick is a Dental Radiographer licensed to practice in Indiana. The address on file for Leisa Kucholick is Fort Wayne IN 46805. This licensed professional license is current. The license was granted 10/20/2014 and expired on 10/20/2016.

Indiana

Professional Licensing Agency

Leisa Kucholick
Dental Radiographer
License number
XT022991
Date granted
10/20/2014
Date expires
10/20/2016
Class
Dental Radiographer
Status
Active
Address
Fort Wayne IN 46805
indianalicensing.org
ID 29200824
LAST UPDATED 2024-04-09 22:21:30 UTC

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