Indiana
Professional Licensing Agency
Kayla M. Stutzman
Radiology Provisional Permit
License number
XP502660
Date granted
07/07/2010
Date expires
01/07/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Etna Green IN 46524-9572
indianalicensing.org
ID 8490534
LAST UPDATED 2024-04-29 21:22:06 UTC
LAST UPDATED 2024-04-29 21:22:06 UTC
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