Indiana
Professional Licensing Agency
Amanda N. Smith
Radiology Provisional Permit
License number
XP505939
Date granted
10/20/2014
Date expires
04/20/2015
Class
Radiology Provisional Permit
Status
Active
Address
Camby IN 46113
indianalicensing.org
ID 29206051
LAST UPDATED 2024-04-07 04:03:39 UTC
LAST UPDATED 2024-04-07 04:03:39 UTC
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