Indiana
Professional Licensing Agency
Mallory M. Prather
Radiology Student Permit
License number
XS006929
Date granted
11/21/2013
Date expires
06/30/2015
Class
Radiology Student Permit
Status
Active
Address
Crawfordsville IN 47933
indianalicensing.org
ID 29208163
LAST UPDATED 2024-05-10 18:24:59 UTC
LAST UPDATED 2024-05-10 18:24:59 UTC
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