Indiana
Professional Licensing Agency
Brianna J. Vanderzwaag
Radiology Provisional Permit
License number
XP504146
Date granted
07/09/2012
Date expires
01/09/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46544
indianalicensing.org
ID 8493801
LAST UPDATED 2024-02-16 09:40:01 UTC
LAST UPDATED 2024-02-16 09:40:01 UTC
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