Indiana
Professional Licensing Agency
Kassy L. Teckenbrock
Radiology Student Permit
License number
XS005775
Date granted
07/17/2012
Date expires
11/30/2014
Class
Radiology Student Permit
Status
Active
Address
Monrovia IN 46157
indianalicensing.org
ID 8501757
LAST UPDATED 2024-05-07 01:40:31 UTC
LAST UPDATED 2024-05-07 01:40:31 UTC
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