Indiana
Professional Licensing Agency
Misty D. Lopez
Dental Radiographer
License number
XT020263
Date granted
02/01/2012
Date expires
02/01/2016
Class
Dental Radiographer
Status
Active
Address
Fort Wayne IN 46835
indianalicensing.org
ID 8462750
LAST UPDATED 2024-04-11 22:37:10 UTC
LAST UPDATED 2024-04-11 22:37:10 UTC
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