Indiana
Professional Licensing Agency
Kirstie D. Lakes
Radiology Student Permit
License number
XS005817
Date granted
07/18/2012
Date expires
01/31/2014
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Trafalgar IN 46181
indianalicensing.org
ID 8503624
LAST UPDATED 2024-02-28 07:32:13 UTC
LAST UPDATED 2024-02-28 07:32:13 UTC
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