Indiana
Professional Licensing Agency
Mallory K. Beeman
Radiology Student Permit
License number
XS000480
Date granted
06/07/2007
Date expires
11/30/2008
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Saint John IN 46373-9762
indianalicensing.org
ID 8502986
LAST UPDATED 2026-03-30 07:19:00 UTC
LAST UPDATED 2026-03-30 07:19:00 UTC
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