Indiana
Professional Licensing Agency
Amy A. Sischo
Radiology Provisional Permit
License number
XP505943
Date granted
10/21/2014
Date expires
04/21/2015
Class
Radiology Provisional Permit
Status
Active
Address
Michigan City IN 46360
indianalicensing.org
ID 29207124
LAST UPDATED 2026-06-16 20:25:12 UTC
LAST UPDATED 2026-06-16 20:25:12 UTC
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