Indiana
Professional Licensing Agency
Amanda M. Lease
Radiology Student Permit
License number
XS004421
Date granted
09/27/2010
Date expires
01/31/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Rochester IN 46975
indianalicensing.org
ID 8502854
LAST UPDATED 2024-02-10 20:22:14 UTC
LAST UPDATED 2024-02-10 20:22:14 UTC
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