Indiana
Professional Licensing Agency
Nicole R. Prater
Radiology Student Permit
License number
XS005280
Date granted
10/11/2011
Date expires
11/30/2012
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Seymour IN 47274
indianalicensing.org
ID 8503138
LAST UPDATED 2024-02-17 07:37:48 UTC
LAST UPDATED 2024-02-17 07:37:48 UTC
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