Indiana
Professional Licensing Agency
Bethany N. Ickes
Radiology Student Permit
License number
XS006732
Date granted
08/26/2013
Date expires
11/30/2015
Class
Radiology Student Permit
Status
Active
Address
Montpelier IN 47359
indianalicensing.org
ID 8501791
LAST UPDATED 2024-03-31 01:59:40 UTC
LAST UPDATED 2024-03-31 01:59:40 UTC
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