Indiana
Professional Licensing Agency
Erica Fate
Radiology Student Permit
License number
XS007611
Date granted
09/05/2014
Date expires
11/30/2015
Class
Radiology Student Permit
Status
Active
Address
Warren IN 46792
indianalicensing.org
ID 29209694
LAST UPDATED 2026-06-03 06:52:02 UTC
LAST UPDATED 2026-06-03 06:52:02 UTC
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