Indiana
Professional Licensing Agency
Shanna R. Lacy
Radiologic Technologist
License number
XT014852
Date granted
08/30/2006
Date expires
08/30/2016
Class
Radiologic Technologist
Status
Active
Address
Tipton IN 46072-1124
indianalicensing.org
ID 8487509
LAST UPDATED 2026-04-21 06:32:58 UTC
LAST UPDATED 2026-04-21 06:32:58 UTC
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