Indiana
Professional Licensing Agency
Brienna N. Farmer
Radiology Student Permit
License number
XS005837
Date granted
07/24/2012
Date expires
11/30/2014
Class
Radiology Student Permit
Status
Superceded
Address
Waterloo IN 46793
indianalicensing.org
ID 8503931
LAST UPDATED 2024-04-03 00:10:08 UTC
LAST UPDATED 2024-04-03 00:10:08 UTC
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