Indiana
Professional Licensing Agency
Ken A. Klitzman
Radiology Student Permit
License number
XS001836
Date granted
06/19/2008
Date expires
11/30/2011
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Cedar Lake IN 46303-8643
indianalicensing.org
ID 8497050
LAST UPDATED 2024-04-18 12:44:36 UTC
LAST UPDATED 2024-04-18 12:44:36 UTC
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