Indiana
Professional Licensing Agency
Amy B. Burns
Radiology Provisional Permit
License number
XP505443
Date granted
03/26/2014
Date expires
09/26/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salem IN 47167
indianalicensing.org
ID 29207545
LAST UPDATED 2024-04-03 10:53:30 UTC
LAST UPDATED 2024-04-03 10:53:30 UTC
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