Indiana
Professional Licensing Agency
Marcie J. Pittak
Radiology Student Permit
License number
XS000895
Date granted
07/02/2007
Date expires
04/30/2008
Class
Radiology Student Permit
Status
Superceded
Address
Indianapolis IN 46203
indianalicensing.org
ID 8500272
LAST UPDATED 2026-05-17 08:48:14 UTC
LAST UPDATED 2026-05-17 08:48:14 UTC
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