Indiana
Professional Licensing Agency
Patricia A. Fassold
Dental Radiographer
License number
XT017290
Date granted
12/02/2008
Date expires
12/02/2014
Class
Dental Radiographer
Status
Active
Address
Connersville IN 47331-8700
indianalicensing.org
ID 8460897
LAST UPDATED 2024-03-28 00:50:59 UTC
LAST UPDATED 2024-03-28 00:50:59 UTC
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