Indiana
Professional Licensing Agency
Kristy L. Burns
Radiology Provisional Permit
License number
XP504308
Date granted
10/01/2012
Date expires
04/01/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Eaton IN 47338
indianalicensing.org
ID 8490314
LAST UPDATED 2024-04-02 10:16:23 UTC
LAST UPDATED 2024-04-02 10:16:23 UTC
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