Indiana
Professional Licensing Agency
Amanda L. Collins
Radiology Provisional Permit
License number
XP503703
Date granted
10/31/2011
Date expires
04/30/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46615-1901
indianalicensing.org
ID 8495372
LAST UPDATED 2024-02-19 06:25:50 UTC
LAST UPDATED 2024-02-19 06:25:50 UTC
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