Indiana
Professional Licensing Agency
Amber R. Fields
Radiology Provisional Permit
License number
XP503241
Date granted
03/07/2011
Date expires
09/07/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greenfield IN 46140-1251
indianalicensing.org
ID 8491465
LAST UPDATED 2024-02-03 20:19:21 UTC
LAST UPDATED 2024-02-03 20:19:21 UTC
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