Indiana
Professional Licensing Agency
Jessica L. Kuiphoff
Radiology Student Permit
License number
XS003820
Date granted
05/21/2010
Date expires
11/30/2012
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
La Porte IN 46350-5150
indianalicensing.org
ID 8500837
LAST UPDATED 2024-03-24 14:37:59 UTC
LAST UPDATED 2024-03-24 14:37:59 UTC
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