Indiana
Professional Licensing Agency
Shelly D. Brose
Dental Radiographer
License number
XT016963
Date granted
08/11/2008
Date expires
08/11/2016
Class
Dental Radiographer
Status
Active
Address
Lebanon IN 46052-9145
indianalicensing.org
ID 8465956
LAST UPDATED 2024-03-16 19:41:25 UTC
LAST UPDATED 2024-03-16 19:41:25 UTC
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