Indiana
Professional Licensing Agency
Tammy J. Forrest
Dental Radiographer
License number
XT019350
Date granted
02/23/2011
Date expires
02/23/2015
Class
Dental Radiographer
Status
Active
Address
Valparaiso IN 46383-9524
indianalicensing.org
ID 8470341
LAST UPDATED 2024-03-05 08:51:03 UTC
LAST UPDATED 2024-03-05 08:51:03 UTC
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