Indiana
Professional Licensing Agency
Staci J. Reisinger
Radiology Provisional Permit
License number
XP504587
Date granted
02/25/2013
Date expires
08/25/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Chandler IN 47610
indianalicensing.org
ID 8489545
LAST UPDATED 2026-03-31 18:34:21 UTC
LAST UPDATED 2026-03-31 18:34:21 UTC
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