Indiana
Professional Licensing Agency
Carisa M. Pruyne
Radiology Student Permit
License number
XS004651
Date granted
04/06/2011
Date expires
09/30/2012
Class
Radiology Student Permit
Status
Superceded
Address
Noblesville IN 46060-2141
indianalicensing.org
ID 8502226
LAST UPDATED 2024-01-30 20:32:08 UTC
LAST UPDATED 2024-01-30 20:32:08 UTC
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