Indiana
Professional Licensing Agency
Dwain D. Self
Radiology Student Permit
License number
XS002008
Date granted
07/17/2008
Date expires
12/31/2010
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46268-3613
indianalicensing.org
ID 8500069
LAST UPDATED 2024-02-24 19:03:28 UTC
LAST UPDATED 2024-02-24 19:03:28 UTC
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