Indiana
Professional Licensing Agency
Stefanie L. Bane
Radiology Provisional Permit
License number
XP503086
Date granted
01/21/2011
Date expires
07/21/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Plainfield IN 46168-7762
indianalicensing.org
ID 8494774
LAST UPDATED 2024-03-20 11:07:36 UTC
LAST UPDATED 2024-03-20 11:07:36 UTC
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