Indiana
Professional Licensing Agency
Samantha Stafford
Radiology Student Permit
License number
XS005962
Date granted
08/20/2012
Date expires
02/28/2014
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Cicero, IN 46034
indianalicensing.org
ID 8497164
LAST UPDATED 2024-03-19 17:55:14 UTC
LAST UPDATED 2024-03-19 17:55:14 UTC
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