Indiana
Professional Licensing Agency
Courtney L. Burcham
Radiology Student Permit
License number
XS007605
Date granted
09/03/2014
Date expires
01/31/2017
Class
Radiology Student Permit
Status
Active
Address
Garrett IN 46738
indianalicensing.org
ID 29208526
LAST UPDATED 2026-03-30 15:22:44 UTC
LAST UPDATED 2026-03-30 15:22:44 UTC
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