Indiana
Professional Licensing Agency
Angela Breidenbach
Radiology Provisional Permit
License number
XP504286
Date granted
09/26/2012
Date expires
03/26/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46203
indianalicensing.org
ID 8492135
LAST UPDATED 2024-03-18 12:01:26 UTC
LAST UPDATED 2024-03-18 12:01:26 UTC
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