Indiana
Professional Licensing Agency
Stuart D. Mattingly
Radiology Student Permit
License number
XS005415
Date granted
01/23/2012
Date expires
11/30/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Lebanon KY 40033
indianalicensing.org
ID 8501116
LAST UPDATED 2026-04-24 09:24:57 UTC
LAST UPDATED 2026-04-24 09:24:57 UTC
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