Indiana
Professional Licensing Agency
Marissa A. Gideon
Dental Radiographer
License number
XT022967
Date granted
10/07/2014
Date expires
10/07/2016
Class
Dental Radiographer
Status
Active
Address
Modoc IN 47358
indianalicensing.org
ID 29201478
LAST UPDATED 2026-04-22 09:50:45 UTC
LAST UPDATED 2026-04-22 09:50:45 UTC
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