Indiana
Professional Licensing Agency
Carol A. Hollis
Radiology Student Permit
License number
XS007441
Date granted
07/22/2014
Date expires
11/30/2016
Class
Radiology Student Permit
Status
Active
Address
Fort Wayne IN 46825
indianalicensing.org
ID 29208419
LAST UPDATED 2024-03-04 18:37:48 UTC
LAST UPDATED 2024-03-04 18:37:48 UTC
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