Indiana
Professional Licensing Agency
Amanda S. Chase
Radiology Provisional Permit
License number
XP500242
Date granted
06/10/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Evansville IN 477201407
indianalicensing.org
ID 8490538
LAST UPDATED 2024-01-29 23:49:34 UTC
LAST UPDATED 2024-01-29 23:49:34 UTC
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