Indiana
Professional Licensing Agency
Mallory M. Muston
Radiology Student Permit
License number
XS006713
Date granted
07/23/2013
Date expires
11/30/2015
Class
Radiology Student Permit
Status
Active
Address
Columbia City IN 46725
indianalicensing.org
ID 8497253
LAST UPDATED 2026-06-06 20:09:09 UTC
LAST UPDATED 2026-06-06 20:09:09 UTC
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