Indiana
Professional Licensing Agency
Mandy R. Bennett
Radiology Provisional Permit
License number
XP500159
Date granted
03/30/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Castle IN 47362-1238
indianalicensing.org
ID 8494254
LAST UPDATED 2024-03-26 12:41:25 UTC
LAST UPDATED 2024-03-26 12:41:25 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.