Indiana
Professional Licensing Agency
Patrick W. Fruchey
Radiology Student Permit
License number
XS006706
Date granted
07/23/2013
Date expires
11/30/2015
Class
Radiology Student Permit
Status
Active
Address
Fort Wayne IN 46845
indianalicensing.org
ID 8498711
LAST UPDATED 2026-06-25 07:42:06 UTC
LAST UPDATED 2026-06-25 07:42:06 UTC
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