Indiana
Professional Licensing Agency
Abigail L. Stevens
Radiology Student Permit
License number
XS005192
Date granted
09/09/2011
Date expires
01/31/2014
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46845-1421
indianalicensing.org
ID 8498462
LAST UPDATED 2024-04-02 00:59:34 UTC
LAST UPDATED 2024-04-02 00:59:34 UTC
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