Indiana
Professional Licensing Agency
Nicole Staton
Dental Radiographer
License number
XT021189
Date granted
01/14/2013
Date expires
01/14/2015
Class
Dental Radiographer
Status
Active
Address
South Bend IN 46619
indianalicensing.org
ID 8469716
LAST UPDATED 2026-04-20 16:36:54 UTC
LAST UPDATED 2026-04-20 16:36:54 UTC
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