Indiana
Professional Licensing Agency
Kallie Ann Longardner
Radiology Provisional Permit
License number
XP505997
Date granted
11/05/2014
Date expires
05/05/2015
Class
Radiology Provisional Permit
Status
Active
Address
Avilla IN 46710
indianalicensing.org
ID 29205966
LAST UPDATED 2024-02-17 22:19:22 UTC
LAST UPDATED 2024-02-17 22:19:22 UTC
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