Indiana
Professional Licensing Agency
Brian T. Clark
Radiologic Technologist
License number
XT014921
Date granted
09/12/2006
Date expires
09/12/2016
Class
Radiologic Technologist
Status
Active
Address
Fort Wayne IN 46808
indianalicensing.org
ID 8479289
LAST UPDATED 2024-02-18 04:35:49 UTC
LAST UPDATED 2024-02-18 04:35:49 UTC
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