Indiana
Professional Licensing Agency
Terri R. Shade
Dental Radiographer
License number
XT011780
Date expires
05/01/2015
Class
Dental Radiographer
Status
Active
Address
Fort Wayne IN 46805-3654
indianalicensing.org
ID 8462867
LAST UPDATED 2024-03-19 18:22:32 UTC
LAST UPDATED 2024-03-19 18:22:32 UTC
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