Indiana
Professional Licensing Agency
Randell B. Tucker
Radiology Student Permit
License number
XS005092
Date granted
08/23/2011
Date expires
11/30/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Hardinsburg KY 40143-3518
indianalicensing.org
ID 8499631
LAST UPDATED 2026-05-28 06:25:23 UTC
LAST UPDATED 2026-05-28 06:25:23 UTC
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