Indiana
Professional Licensing Agency
Lacey L. Fowler
Radiology Student Permit
License number
XS006466
Date granted
06/04/2013
Date expires
11/30/2015
Class
Radiology Student Permit
Status
Active
Address
Griffith IN 46319
indianalicensing.org
ID 8499495
LAST UPDATED 2024-04-27 03:02:22 UTC
LAST UPDATED 2024-04-27 03:02:22 UTC
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