Indiana
Professional Licensing Agency
Amanda M. Lientz
Radiology Provisional Permit
License number
XP501600
Date granted
01/30/2009
Date expires
07/30/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Castle IN 47362-9640
indianalicensing.org
ID 8494209
LAST UPDATED 2024-04-22 22:26:18 UTC
LAST UPDATED 2024-04-22 22:26:18 UTC
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