Indiana
Professional Licensing Agency
Amanda A. Spears
Radiology Provisional Permit
License number
XP504691
Date granted
04/23/2013
Date expires
10/23/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fairland IN 46126
indianalicensing.org
ID 8490673
LAST UPDATED 2024-05-10 18:42:44 UTC
LAST UPDATED 2024-05-10 18:42:44 UTC
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