License holder summary

LORRAINE D. FOSSUM, RAD is a Dental Examiners - Radiographer licensed to practice in Maine. The address on file for LORRAINE D. FOSSUM, RAD is PHOENIX, AZ 85029. This licensed professional license is not current. The license was granted 05/29/2001 and expired on 06/30/2006.

Maine

Office of Professional and Occupational Regulation

LORRAINE D. FOSSUM, RAD
Dental Examiners - Radiographer
License number
RAD2021
Date granted
05/29/2001
Date expires
06/30/2006
Class
Dental Examiners - Radiographer
Status
Failed to Renew
Address
PHOENIX, AZ 85029
mainelicensing.org
ID 21043854
LAST UPDATED 2024-02-29 23:39:44 UTC

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