License holder summary

Mia S. Fuller is a Radiology Student Permit licensed to practice in Indiana. The address on file for Mia S. Fuller is Anderson IN 46016. This licensed professional license is current. The license was granted 11/12/2014 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Mia S. Fuller
Radiology Student Permit
License number
XS007708
Date granted
11/12/2014
Date expires
06/30/2016
Class
Radiology Student Permit
Status
Active
Address
Anderson IN 46016
indianalicensing.org
ID 29207840
LAST UPDATED 2024-02-27 17:30:00 UTC

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