Indiana
Professional Licensing Agency
Jessica Banta
Radiology Student Permit
License number
XS002966
Date granted
07/07/2009
Date expires
04/30/2010
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Franklin IN 46131-1854
indianalicensing.org
ID 8498862
LAST UPDATED 2026-05-27 23:16:09 UTC
LAST UPDATED 2026-05-27 23:16:09 UTC
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