Indiana
Professional Licensing Agency
Dakota B. Conklin
Radiology Student Permit
License number
XS005984
Date granted
08/24/2012
Date expires
11/30/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Fort Branch IN 47648
indianalicensing.org
ID 8498449
LAST UPDATED 2026-04-13 23:40:01 UTC
LAST UPDATED 2026-04-13 23:40:01 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.