Indiana
Professional Licensing Agency
Kristi A. Ganus
Radiology Provisional Permit
License number
XP503394
Date granted
05/13/2011
Date expires
11/13/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46614-9652
indianalicensing.org
ID 8495438
LAST UPDATED 2024-04-25 02:14:35 UTC
LAST UPDATED 2024-04-25 02:14:35 UTC
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