Indiana
Professional Licensing Agency
Stacy J. Hannon
Radiology Student Permit
License number
XS006094
Date granted
09/24/2012
Date expires
03/31/2014
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Lafayette IN 47909
indianalicensing.org
ID 8500970
LAST UPDATED 2024-02-17 15:49:44 UTC
LAST UPDATED 2024-02-17 15:49:44 UTC
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