Indiana
Professional Licensing Agency
Michael T. Wise
Radiology Student Permit
License number
XS003135
Date granted
08/05/2009
Date expires
11/30/2011
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46224-6121
indianalicensing.org
ID 8500302
LAST UPDATED 2026-06-13 13:32:37 UTC
LAST UPDATED 2026-06-13 13:32:37 UTC
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