Indiana
Professional Licensing Agency
Jayla Anderson
Radiology Provisional Permit
License number
XP505103
Date granted
11/25/2013
Date expires
05/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Marion IN 46953
indianalicensing.org
ID 29207065
LAST UPDATED 2024-04-12 21:03:35 UTC
LAST UPDATED 2024-04-12 21:03:35 UTC
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