Indiana
Professional Licensing Agency
Porshia D. Clark
Radiology Student Permit
License number
XS007057
Date granted
01/31/2014
Date expires
11/30/2015
Class
Radiology Student Permit
Status
Active
Address
New Haven KY 40051
indianalicensing.org
ID 29209310
LAST UPDATED 2026-04-06 12:18:41 UTC
LAST UPDATED 2026-04-06 12:18:41 UTC
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