Indiana
Professional Licensing Agency
Brandy Elizabeth Amstutz
Radiology Student Permit
License number
XS007613
Date granted
09/05/2014
Date expires
11/30/2015
Class
Radiology Student Permit
Status
Active
Address
Fort Wayne IN 46825
indianalicensing.org
ID 29208416
LAST UPDATED 2024-05-01 07:57:15 UTC
LAST UPDATED 2024-05-01 07:57:15 UTC
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