Indiana
Professional Licensing Agency
Kimberly B. Manning
Radiology Provisional Permit
License number
XP505469
Date granted
04/10/2014
Date expires
10/10/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mitchell IN 47446
indianalicensing.org
ID 29207169
LAST UPDATED 2026-03-10 06:02:44 UTC
LAST UPDATED 2026-03-10 06:02:44 UTC
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