Indiana
Professional Licensing Agency
Jamie R. Ellis
Radiology Student Permit
License number
XS004308
Date granted
09/13/2010
Date expires
01/31/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Fairmount IL 61841-0314
indianalicensing.org
ID 8498248
LAST UPDATED 2024-04-24 14:46:04 UTC
LAST UPDATED 2024-04-24 14:46:04 UTC
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