Indiana
Professional Licensing Agency
Shelly M. Banke
Radiology Student Permit
License number
XS001958
Date granted
07/15/2008
Date expires
11/30/2010
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
South Bend IN 46615-3009
indianalicensing.org
ID 8503313
LAST UPDATED 2024-04-12 15:36:16 UTC
LAST UPDATED 2024-04-12 15:36:16 UTC
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