Indiana
Professional Licensing Agency
Brittany J. Sissman
Radiology Provisional Permit
License number
XP501614
Date granted
01/30/2009
Date expires
07/30/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bloomington IN 47403
indianalicensing.org
ID 8492941
LAST UPDATED 2026-05-25 22:56:37 UTC
LAST UPDATED 2026-05-25 22:56:37 UTC
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