Indiana
Professional Licensing Agency
Samantha L. Nixon
Radiology Student Permit
License number
XS005453
Date granted
02/02/2012
Date expires
01/31/2014
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Danville IL 61832
indianalicensing.org
ID 8497663
LAST UPDATED 2026-04-11 20:22:55 UTC
LAST UPDATED 2026-04-11 20:22:55 UTC
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