Indiana
Professional Licensing Agency
A'modesia N. Manns
Radiology Provisional Permit
License number
XP502665
Date granted
07/07/2010
Date expires
01/07/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46545-2460
indianalicensing.org
ID 8493798
LAST UPDATED 2024-04-21 11:42:23 UTC
LAST UPDATED 2024-04-21 11:42:23 UTC
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