Indiana
Professional Licensing Agency
Shawna L. Moy-Forsythe
Radiology Student Permit
License number
XS007683
Date granted
10/27/2014
Date expires
01/31/2016
Class
Radiology Student Permit
Status
Active
Address
Kokomo IN 46902
indianalicensing.org
ID 29208948
LAST UPDATED 2024-01-17 05:27:28 UTC
LAST UPDATED 2024-01-17 05:27:28 UTC
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