Indiana
Professional Licensing Agency
Amanda Mounce
Radiology Provisional Permit
License number
XP504697
Date granted
04/23/2013
Date expires
10/23/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Palestine IN 46163
indianalicensing.org
ID 8491464
LAST UPDATED 2024-05-05 18:27:05 UTC
LAST UPDATED 2024-05-05 18:27:05 UTC
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