Indiana
Professional Licensing Agency
Stacy L. Detty
Radiology Student Permit
License number
XS007562
Date granted
08/29/2014
Date expires
11/30/2016
Class
Radiology Student Permit
Status
Active
Address
Greenwood IN 46142
indianalicensing.org
ID 29208666
LAST UPDATED 2024-02-27 16:34:13 UTC
LAST UPDATED 2024-02-27 16:34:13 UTC
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