Indiana
Professional Licensing Agency
Mimi A. Davis
Radiology Student Permit
License number
XS004534
Date granted
12/21/2010
Date expires
01/31/2012
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Kokomo IN 46901-3240
indianalicensing.org
ID 8500775
LAST UPDATED 2024-04-14 00:00:21 UTC
LAST UPDATED 2024-04-14 00:00:21 UTC
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