Indiana
Professional Licensing Agency
Stephen M. Pantak
Radiologic Technologist
License number
XT020708
Date granted
06/29/2012
Date expires
06/29/2014
Class
Radiologic Technologist
Status
Expired
Address
Centralia IL 62801
indianalicensing.org
ID 8477257
LAST UPDATED 2026-07-11 02:48:26 UTC
LAST UPDATED 2026-07-11 02:48:26 UTC
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