Indiana
Professional Licensing Agency
Penny A Dunivent
Dental Radiographer
License number
XT006061
Date expires
11/18/2005
Class
Dental Radiographer
Status
Expired
Address
South Bend IN 46635-1452
indianalicensing.org
ID 8469720
LAST UPDATED 2026-09-02 19:07:13 UTC
LAST UPDATED 2026-09-02 19:07:13 UTC
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