Indiana
Professional Licensing Agency
Keanna Banks
Radiology Provisional Permit
License number
XP505983
Date granted
10/29/2014
Date expires
04/29/2015
Class
Radiology Provisional Permit
Status
Active
Address
Gary IN 46406
indianalicensing.org
ID 29206500
LAST UPDATED 2024-03-11 15:47:14 UTC
LAST UPDATED 2024-03-11 15:47:14 UTC
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