Indiana
Professional Licensing Agency
Kim M. Fett
Radiology Provisional Permit
License number
XP504885
Date granted
08/13/2013
Date expires
02/13/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46835
indianalicensing.org
ID 8490969
LAST UPDATED 2024-04-06 03:46:19 UTC
LAST UPDATED 2024-04-06 03:46:19 UTC
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