Indiana
Professional Licensing Agency
Breanne E. Clark
Radiology Student Permit
License number
XS005640
Date granted
05/22/2012
Date expires
02/28/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Griffith IN 46319
indianalicensing.org
ID 8499488
LAST UPDATED 2024-04-01 02:13:04 UTC
LAST UPDATED 2024-04-01 02:13:04 UTC
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