Indiana
Professional Licensing Agency
Amanda Leigh Walters
Radiology Provisional Permit
License number
XP503691
Date granted
10/13/2011
Date expires
04/13/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
decatur IN 46733
indianalicensing.org
ID 29206239
LAST UPDATED 2026-05-03 16:06:39 UTC
LAST UPDATED 2026-05-03 16:06:39 UTC
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