Indiana
Professional Licensing Agency
Samantha F. Clark
Radiology Provisional Permit
License number
XP500784
Date granted
08/22/2007
Date expires
05/08/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46268-3842
indianalicensing.org
ID 8492590
LAST UPDATED 2024-05-04 04:10:46 UTC
LAST UPDATED 2024-05-04 04:10:46 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.