Indiana
Professional Licensing Agency
Alysia J. Mann
Radiology Provisional Permit
License number
XP506010
Date granted
11/07/2014
Date expires
05/07/2015
Class
Radiology Provisional Permit
Status
Active
Address
Portland IN 47371
indianalicensing.org
ID 29207467
LAST UPDATED 2024-03-03 00:56:37 UTC
LAST UPDATED 2024-03-03 00:56:37 UTC
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