Indiana
Professional Licensing Agency
Stormy N. Rosenbalm
Radiology Student Permit
License number
XS005581
Date granted
05/02/2012
Date expires
10/31/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Mooresville IN 46158
indianalicensing.org
ID 8501856
LAST UPDATED 2026-07-16 10:46:55 UTC
LAST UPDATED 2026-07-16 10:46:55 UTC
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