License holder summary

Samantha Sue Brock is a Dental Radiographer licensed to practice in Indiana. The address on file for Samantha Sue Brock is Camby IN 46113. This licensed professional license is current. The license was granted 11/07/2007 and expired on 11/07/2015.

Indiana

Professional Licensing Agency

Samantha Sue Brock
Dental Radiographer
License number
XT016136
Date granted
11/07/2007
Date expires
11/07/2015
Class
Dental Radiographer
Status
Active
Address
Camby IN 46113
indianalicensing.org
ID 8460101
LAST UPDATED 2024-03-22 15:29:09 UTC

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