Indiana
Professional Licensing Agency
Amanda S. Niswonger
Radiology Provisional Permit
License number
XP501134
Date granted
04/23/2008
Date expires
10/23/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46544-1552
indianalicensing.org
ID 8493795
LAST UPDATED 2024-03-01 19:13:35 UTC
LAST UPDATED 2024-03-01 19:13:35 UTC
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