Indiana
Professional Licensing Agency
Michael J. Shafer
Radiologic Technologist
License number
XT011635
Date expires
08/09/2004
Class
Radiologic Technologist
Status
Revoked
Address
Fort Wayne IN 46835-3824
indianalicensing.org
ID 8479653
LAST UPDATED 2024-04-13 09:24:36 UTC
LAST UPDATED 2024-04-13 09:24:36 UTC
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