Indiana
Professional Licensing Agency
Susan C. Black
Radiologic Technologist
License number
XT001058
Date expires
06/01/2016
Class
Radiologic Technologist
Status
Active
Address
Madison IN 47250-8052
indianalicensing.org
ID 8483091
LAST UPDATED 2026-04-15 03:03:10 UTC
LAST UPDATED 2026-04-15 03:03:10 UTC
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