Indiana
Professional Licensing Agency
Amanda A. Mason
Radiology Provisional Permit
License number
XP501474
Date granted
10/29/2008
Date expires
04/29/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Underwood IN 47177-6906
indianalicensing.org
ID 8495708
LAST UPDATED 2024-05-04 03:49:48 UTC
LAST UPDATED 2024-05-04 03:49:48 UTC
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