Indiana
Professional Licensing Agency
Kimberly Fenstermacher
Radiology Provisional Permit
License number
XP500882
Date granted
12/10/2007
Date expires
06/10/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bristol IN 46507-9758
indianalicensing.org
ID 8489234
LAST UPDATED 2024-02-20 04:25:49 UTC
LAST UPDATED 2024-02-20 04:25:49 UTC
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