Indiana
Professional Licensing Agency
Tracy L. Smallwood
Dental Radiographer
License number
XT000594
Date expires
03/18/2016
Class
Dental Radiographer
Status
Active
Address
Fort Wayne IN 46825-3188
indianalicensing.org
ID 8462882
LAST UPDATED 2024-03-27 08:59:30 UTC
LAST UPDATED 2024-03-27 08:59:30 UTC
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