Indiana
Professional Licensing Agency
Shannon K. Stout
Dental Radiographer
License number
XT017904
Date granted
07/21/2009
Date expires
07/21/2015
Class
Dental Radiographer
Status
Active
Address
Nineveh IN 46164-8656
indianalicensing.org
ID 8467765
LAST UPDATED 2024-02-23 09:26:03 UTC
LAST UPDATED 2024-02-23 09:26:03 UTC
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