Indiana
Professional Licensing Agency
Mellany L. Nowak
Radiology Student Permit
License number
XS003667
Date granted
02/02/2010
Date expires
11/30/2011
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46545-3716
indianalicensing.org
ID 8501696
LAST UPDATED 2026-07-29 17:19:53 UTC
LAST UPDATED 2026-07-29 17:19:53 UTC
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