Indiana
Professional Licensing Agency
Kacie A Champagne
Radiology Student Permit
License number
XS006841
Date granted
09/10/2013
Date expires
11/30/2014
Class
Radiology Student Permit
Status
Superceded
Address
Fort Wayne IN 46835
indianalicensing.org
ID 8498608
LAST UPDATED 2024-04-17 14:23:38 UTC
LAST UPDATED 2024-04-17 14:23:38 UTC
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