Indiana
Professional Licensing Agency
Stacey M. Waterman
Radiology Student Permit
License number
XS003962
Date granted
06/22/2010
Date expires
07/31/2011
Class
Radiology Student Permit
Status
Superceded
Address
Indianapolis IN 46231-1619
indianalicensing.org
ID 8500427
LAST UPDATED 2026-04-27 12:30:30 UTC
LAST UPDATED 2026-04-27 12:30:30 UTC
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