Indiana
Professional Licensing Agency
Amanda S. Kernan
Radiology Provisional Permit
License number
XP503083
Date granted
01/10/2011
Date expires
07/10/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150-4180
indianalicensing.org
ID 8494115
LAST UPDATED 2026-04-05 00:51:53 UTC
LAST UPDATED 2026-04-05 00:51:53 UTC
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