Indiana
Professional Licensing Agency
Kassondra P. Miller
Radiology Student Permit
License number
XS006956
Date granted
11/21/2013
Date expires
06/30/2015
Class
Radiology Student Permit
Status
Active
Address
Fort Wayne IN 46808
indianalicensing.org
ID 29208444
LAST UPDATED 2026-06-01 05:06:37 UTC
LAST UPDATED 2026-06-01 05:06:37 UTC
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