Indiana
Professional Licensing Agency
Stacy L. Birden
Dental Radiographer
License number
XT019817
Date granted
08/05/2011
Date expires
08/05/2015
Class
Dental Radiographer
Status
Active
Address
Noblesville IN 46060-6717
indianalicensing.org
ID 8467955
LAST UPDATED 2026-06-03 08:16:18 UTC
LAST UPDATED 2026-06-03 08:16:18 UTC
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