Indiana
Professional Licensing Agency
Gail M. Koontz
Radiology Student Permit
License number
XS006740
Date granted
08/29/2013
Date expires
01/31/2016
Class
Radiology Student Permit
Status
Active
Address
Westville IL 61883
indianalicensing.org
ID 8504049
LAST UPDATED 2024-05-05 11:57:15 UTC
LAST UPDATED 2024-05-05 11:57:15 UTC
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