Indiana
Professional Licensing Agency
Brittany A. Crist
Radiology Provisional Permit
License number
XP502240
Date granted
12/18/2009
Date expires
06/18/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Winchester IN 47394-9181
indianalicensing.org
ID 8496116
LAST UPDATED 2026-05-25 23:04:07 UTC
LAST UPDATED 2026-05-25 23:04:07 UTC
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