Indiana
Professional Licensing Agency
Phongsamout Kinsella
Radiologic Technologist
License number
XT018212
Date granted
10/21/2009
Date expires
10/21/2015
Class
Radiologic Technologist
Status
Active
Address
South Bend IN 46614-6802
indianalicensing.org
ID 8487023
LAST UPDATED 2024-04-21 12:40:51 UTC
LAST UPDATED 2024-04-21 12:40:51 UTC
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