Indiana
Professional Licensing Agency
Stephanie Burnside
Radiology Provisional Permit
License number
XP503859
Date granted
02/07/2012
Date expires
08/07/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Shelbyville IN 46176
indianalicensing.org
ID 8495301
LAST UPDATED 2024-04-02 21:30:36 UTC
LAST UPDATED 2024-04-02 21:30:36 UTC
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