Indiana
Professional Licensing Agency
Marilyn R. Moore
Dental Radiographer
License number
XT016191
Date granted
12/06/2007
Date expires
12/06/2011
Class
Dental Radiographer
Status
Expired
Address
Fort Wayne IN 46825-1132
indianalicensing.org
ID 8462701
LAST UPDATED 2026-04-16 16:06:37 UTC
LAST UPDATED 2026-04-16 16:06:37 UTC
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