Indiana
Professional Licensing Agency
Emmaline Grace Wachtstetter
Radiology Provisional Permit
License number
XP500589
Date granted
09/02/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 462263589
indianalicensing.org
ID 8492294
LAST UPDATED 2024-04-06 08:21:41 UTC
LAST UPDATED 2024-04-06 08:21:41 UTC
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