Indiana
Professional Licensing Agency
Mark R. Short, Jr.
Radiology Student Permit
License number
XS006480
Date granted
06/10/2013
Date expires
11/30/2015
Class
Radiology Student Permit
Status
Active
Address
Hammond IN 46324
indianalicensing.org
ID 8499589
LAST UPDATED 2024-03-17 15:14:50 UTC
LAST UPDATED 2024-03-17 15:14:50 UTC
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