Indiana
Professional Licensing Agency
Emily A. Fortner
Dental Radiographer
License number
XT015117
Date granted
11/08/2006
Date expires
11/08/2016
Class
Dental Radiographer
Status
Active
Address
Orleans IN 47452
indianalicensing.org
ID 8468120
LAST UPDATED 2024-04-17 23:45:18 UTC
LAST UPDATED 2024-04-17 23:45:18 UTC
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