Indiana
Professional Licensing Agency
Megan P. Bontrager
Radiology Provisional Permit
License number
XP505985
Date granted
10/29/2014
Date expires
04/29/2015
Class
Radiology Provisional Permit
Status
Active
Address
Shipshewana IN 46565
indianalicensing.org
ID 29207615
LAST UPDATED 2024-03-23 10:11:11 UTC
LAST UPDATED 2024-03-23 10:11:11 UTC
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