Indiana
Professional Licensing Agency
Marybeth Fornelli
Dental Radiographer
License number
XT002742
Date expires
01/01/2015
Class
Dental Radiographer
Status
Active
Address
Knox IN 46534-9399
indianalicensing.org
ID 8465141
LAST UPDATED 2026-05-26 17:40:55 UTC
LAST UPDATED 2026-05-26 17:40:55 UTC
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