Indiana
Professional Licensing Agency
Samantha L. Anderson
Radiology Provisional Permit
License number
XP501676
Date granted
03/05/2009
Date expires
09/05/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46241
indianalicensing.org
ID 8492593
LAST UPDATED 2024-04-17 02:51:16 UTC
LAST UPDATED 2024-04-17 02:51:16 UTC
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