Indiana
Professional Licensing Agency
Amanda M. Evans
Radiology Provisional Permit
License number
XP503738
Date granted
11/15/2011
Date expires
05/15/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Upland IN 46989
indianalicensing.org
ID 8495746
LAST UPDATED 2024-04-01 21:03:05 UTC
LAST UPDATED 2024-04-01 21:03:05 UTC
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