Indiana
Professional Licensing Agency
AmyS. Minniti
Radiology Provisional Permit
License number
XP502165
Date granted
11/19/2009
Date expires
05/19/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Brookville IN 47012-8781
indianalicensing.org
ID 8489252
LAST UPDATED 2026-05-05 14:10:22 UTC
LAST UPDATED 2026-05-05 14:10:22 UTC
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