Indiana
Professional Licensing Agency
Lauren L. Burgess
Radiology Student Permit
License number
XS005577
Date granted
05/02/2012
Date expires
10/31/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Brownsburg IN 46112
indianalicensing.org
ID 8496883
LAST UPDATED 2026-05-27 16:58:14 UTC
LAST UPDATED 2026-05-27 16:58:14 UTC
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