Indiana
Professional Licensing Agency
Amanda L. Borchardt
Radiology Provisional Permit
License number
XP501103
Date granted
04/08/2008
Date expires
10/08/2008
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46227-1818
indianalicensing.org
ID 8492123
LAST UPDATED 2024-04-11 23:22:41 UTC
LAST UPDATED 2024-04-11 23:22:41 UTC
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