Indiana
Professional Licensing Agency
Kristina Marie Pruett
Radiology Provisional Permit
License number
XP500036
Date granted
05/25/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Anderson IN 460133805
indianalicensing.org
ID 8488797
LAST UPDATED 2026-05-28 15:02:36 UTC
LAST UPDATED 2026-05-28 15:02:36 UTC
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