Indiana
Professional Licensing Agency
Stephanie S. Bontrager
Radiology Provisional Permit
License number
XP505982
Date granted
10/27/2014
Date expires
04/27/2015
Class
Radiology Provisional Permit
Status
Active
Address
Elkhart IN 46517
indianalicensing.org
ID 29206310
LAST UPDATED 2024-03-03 04:18:23 UTC
LAST UPDATED 2024-03-03 04:18:23 UTC
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