Indiana
Professional Licensing Agency
Jody L. Stanko
Radiology Provisional Permit
License number
XP500074
Date granted
06/15/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 463681632
indianalicensing.org
ID 8494846
LAST UPDATED 2024-03-30 10:43:45 UTC
LAST UPDATED 2024-03-30 10:43:45 UTC
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