Indiana
Professional Licensing Agency
Stacie M. Sissom
Dental Radiographer
License number
XT008106
Date expires
05/13/2012
Class
Dental Radiographer
Status
Expired
Address
Oakland City IN 47660
indianalicensing.org
ID 8468089
LAST UPDATED 2026-06-15 15:17:02 UTC
LAST UPDATED 2026-06-15 15:17:02 UTC
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