Indiana
Professional Licensing Agency
Kristen L. Fatt
Radiology Provisional Permit
License number
XP506025
Date granted
11/14/2014
Date expires
05/14/2015
Class
Radiology Provisional Permit
Status
Active
Address
Indianapolis IN 46250
indianalicensing.org
ID 29206807
LAST UPDATED 2024-04-10 01:50:11 UTC
LAST UPDATED 2024-04-10 01:50:11 UTC
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