Indiana
Professional Licensing Agency
Brenden L. Dyer
Radiology Provisional Permit
License number
XP503422
Date granted
06/03/2011
Date expires
12/03/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Worthington IN 47471-2001
indianalicensing.org
ID 8496138
LAST UPDATED 2026-05-03 01:36:22 UTC
LAST UPDATED 2026-05-03 01:36:22 UTC
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