Indiana
Professional Licensing Agency
Shantel L. Brock
Dental Radiographer
License number
XT019836
Date granted
08/11/2011
Date expires
08/11/2015
Class
Dental Radiographer
Status
Active
Address
Mitchell IN 47446-1119
indianalicensing.org
ID 8466925
LAST UPDATED 2024-04-30 11:25:21 UTC
LAST UPDATED 2024-04-30 11:25:21 UTC
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