Indiana
Professional Licensing Agency
Breanna L. Thingelstad
Radiology Provisional Permit
License number
XP500544
Date granted
02/18/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Danville IN 461221126
indianalicensing.org
ID 8490101
LAST UPDATED 2024-04-25 14:08:56 UTC
LAST UPDATED 2024-04-25 14:08:56 UTC
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