Indiana
Professional Licensing Agency
Breanna L. Short
Radiology Student Permit
License number
XS005966
Date granted
08/20/2012
Date expires
02/28/2014
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Avon IN 46123
indianalicensing.org
ID 8496458
LAST UPDATED 2024-02-18 22:18:11 UTC
LAST UPDATED 2024-02-18 22:18:11 UTC
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