Indiana
Professional Licensing Agency
Michael L. Lake
Radiologic Technologist
License number
XT017876
Date granted
07/16/2009
Date expires
07/16/2015
Class
Radiologic Technologist
Status
Active
Address
South Bend IN 46637-3900
indianalicensing.org
ID 8487005
LAST UPDATED 2024-03-21 13:57:56 UTC
LAST UPDATED 2024-03-21 13:57:56 UTC
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