Indiana
Professional Licensing Agency
Brittany M. Lundberg
Radiology Provisional Permit
License number
XP503346
Date granted
04/27/2011
Date expires
10/27/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46544-4310
indianalicensing.org
ID 8493802
LAST UPDATED 2024-03-23 10:27:55 UTC
LAST UPDATED 2024-03-23 10:27:55 UTC
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