Indiana
Professional Licensing Agency
Heather M. Bentz
Radiology Provisional Permit
License number
XP502062
Date granted
10/20/2009
Date expires
04/20/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Decatur IN 46733-2068
indianalicensing.org
ID 8490127
LAST UPDATED 2024-03-20 22:41:06 UTC
LAST UPDATED 2024-03-20 22:41:06 UTC
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