Indiana
Professional Licensing Agency
Amanda M. Kleyn
Radiology Provisional Permit
License number
XP501708
Date granted
03/18/2009
Date expires
09/18/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Whiteland IN 46184-9456
indianalicensing.org
ID 8496063
LAST UPDATED 2024-05-01 19:31:37 UTC
LAST UPDATED 2024-05-01 19:31:37 UTC
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