Indiana
Professional Licensing Agency
Tammy S. Malloy
Dental Radiographer
License number
XT014943
Date granted
09/13/2006
Date expires
09/13/2016
Class
Dental Radiographer
Status
Active
Address
Lake Village IN 46349-0032
indianalicensing.org
ID 8465806
LAST UPDATED 2024-03-18 15:26:28 UTC
LAST UPDATED 2024-03-18 15:26:28 UTC
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