Indiana
Professional Licensing Agency
Marissa K. Bali
Radiology Student Permit
License number
XS006409
Date granted
05/21/2013
Date expires
06/30/2014
Class
Radiology Student Permit
Status
Superceded
Address
South Bend IN 46614
indianalicensing.org
ID 8503297
LAST UPDATED 2026-05-19 14:01:18 UTC
LAST UPDATED 2026-05-19 14:01:18 UTC
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