Indiana
Professional Licensing Agency
Brittnee N. Lewis
Radiology Provisional Permit
License number
XP503259
Date granted
03/15/2011
Date expires
09/15/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46816-1960
indianalicensing.org
ID 8490876
LAST UPDATED 2024-03-01 20:31:11 UTC
LAST UPDATED 2024-03-01 20:31:11 UTC
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