Indiana
Professional Licensing Agency
Alyssa D. Stout
Radiology Student Permit
License number
XS007431
Date granted
07/22/2014
Date expires
11/30/2016
Class
Radiology Student Permit
Status
Active
Address
La Fontaine IN 46940
indianalicensing.org
ID 29208958
LAST UPDATED 2024-03-25 09:13:14 UTC
LAST UPDATED 2024-03-25 09:13:14 UTC
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