Indiana
Professional Licensing Agency
Shannon C. Machacek
Dental Radiographer
License number
XT013319
Date expires
10/26/2014
Class
Dental Radiographer
Status
Expired
Address
Romeoville IL 60446
indianalicensing.org
ID 8469031
LAST UPDATED 2026-04-10 06:04:47 UTC
LAST UPDATED 2026-04-10 06:04:47 UTC
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