Indiana
Professional Licensing Agency
Kelly M. Mallory
Radiology Student Permit
License number
XS004981
Date granted
07/20/2011
Date expires
01/31/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Greenwood IN 46143-9207
indianalicensing.org
ID 8499413
LAST UPDATED 2024-03-05 14:45:43 UTC
LAST UPDATED 2024-03-05 14:45:43 UTC
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