Indiana
Professional Licensing Agency
Samantha N. Anderson
Radiology Provisional Permit
License number
XP505785
Date granted
08/15/2014
Date expires
02/15/2015
Class
Radiology Provisional Permit
Status
Active
Address
New Washington IN 47162
indianalicensing.org
ID 29207317
LAST UPDATED 2024-03-14 20:38:34 UTC
LAST UPDATED 2024-03-14 20:38:34 UTC
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