Indiana
Professional Licensing Agency
Hannah E. Fugate
Radiology Student Permit
License number
XS006156
Date granted
11/20/2012
Date expires
06/30/2014
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Morris IN 47033
indianalicensing.org
ID 8501879
LAST UPDATED 2024-01-29 01:15:33 UTC
LAST UPDATED 2024-01-29 01:15:33 UTC
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