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 2026-04-22 09:44:50 UTC
LAST UPDATED 2026-04-22 09:44:50 UTC
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