Indiana
Professional Licensing Agency
Krystal L. Pettus
Radiology Provisional Permit
License number
XP505790
Date granted
08/15/2014
Date expires
02/15/2015
Class
Radiology Provisional Permit
Status
Active
Address
Depauw IN 47115
indianalicensing.org
ID 29206249
LAST UPDATED 2024-03-08 00:07:36 UTC
LAST UPDATED 2024-03-08 00:07:36 UTC
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