Indiana
Professional Licensing Agency
Frederic A. Cook IV
Radiology Student Permit
License number
XS000656
Date granted
06/19/2007
Date expires
11/30/2008
Class
Radiology Student Permit
Status
Superceded
Address
Indianapolis IN 46204
indianalicensing.org
ID 8500095
LAST UPDATED 2026-04-28 04:43:16 UTC
LAST UPDATED 2026-04-28 04:43:16 UTC
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