Indiana
Professional Licensing Agency
Samantha A. Sickels
Radiology Provisional Permit
License number
XP504990
Date granted
09/25/2013
Date expires
03/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46619
indianalicensing.org
ID 8493848
LAST UPDATED 2024-03-27 21:02:49 UTC
LAST UPDATED 2024-03-27 21:02:49 UTC
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