Indiana
Professional Licensing Agency
Johnny W. Weinkam
Radiology Student Permit
License number
XS006798
Date granted
09/06/2013
Date expires
01/31/2016
Class
Radiology Student Permit
Status
Active
Address
Fort Wayne IN 46808
indianalicensing.org
ID 8498600
LAST UPDATED 2026-08-20 09:30:16 UTC
LAST UPDATED 2026-08-20 09:30:16 UTC
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