Indiana
Professional Licensing Agency
Kristen M. Bauer
Radiology Provisional Permit
License number
XP503498
Date granted
07/18/2011
Date expires
01/18/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Aurora IN 47001
indianalicensing.org
ID 8488874
LAST UPDATED 2024-03-01 14:55:40 UTC
LAST UPDATED 2024-03-01 14:55:40 UTC
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