Indiana
Professional Licensing Agency
Samantha N. Ayrea
Radiology Provisional Permit
License number
XP504238
Date granted
09/11/2012
Date expires
03/11/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46545
indianalicensing.org
ID 8493855
LAST UPDATED 2024-05-06 19:37:34 UTC
LAST UPDATED 2024-05-06 19:37:34 UTC
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