Indiana
Professional Licensing Agency
Kimberly M. Ellis
Radiology Student Permit
License number
XS002879
Date granted
07/06/2009
Date expires
11/30/2011
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Gary IN 46409-2505
indianalicensing.org
ID 8498989
LAST UPDATED 2024-02-14 13:01:22 UTC
LAST UPDATED 2024-02-14 13:01:22 UTC
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