Indiana
Professional Licensing Agency
Annie L. Mitchum
Radiology Student Permit
License number
XS004527
Date granted
12/21/2010
Date expires
01/31/2012
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Sheridan IN 46069-2188
indianalicensing.org
ID 8503218
LAST UPDATED 2024-03-02 06:54:14 UTC
LAST UPDATED 2024-03-02 06:54:14 UTC
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