Indiana
Professional Licensing Agency
Gabrielle M. Holman
Radiology Student Permit
License number
XS005309
Date granted
11/01/2011
Date expires
06/30/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Versailles IN 47042-9134
indianalicensing.org
ID 8503767
LAST UPDATED 2026-04-17 20:43:06 UTC
LAST UPDATED 2026-04-17 20:43:06 UTC
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