Indiana
Professional Licensing Agency
Angel S. Vanderwall
Radiology Provisional Permit
License number
XP505824
Date granted
09/08/2014
Date expires
03/08/2015
Class
Radiology Provisional Permit
Status
Active
Address
Kewanna IN 46939
indianalicensing.org
ID 29206905
LAST UPDATED 2024-04-03 03:02:51 UTC
LAST UPDATED 2024-04-03 03:02:51 UTC
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