Indiana
Professional Licensing Agency
Amanda R. Staggs
Radiology Provisional Permit
License number
XP505302
Date granted
02/12/2014
Date expires
08/12/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Vincennes IN 47591
indianalicensing.org
ID 29207736
LAST UPDATED 2024-02-12 17:44:41 UTC
LAST UPDATED 2024-02-12 17:44:41 UTC
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