Indiana
Professional Licensing Agency
Tamica M. Bastin
Radiology Student Permit
License number
XS006234
Date granted
01/09/2013
Date expires
11/30/2013
Class
Radiology Student Permit
Status
Superceded
Address
Greencastle IN 46135
indianalicensing.org
ID 8499188
LAST UPDATED 2024-02-26 07:13:34 UTC
LAST UPDATED 2024-02-26 07:13:34 UTC
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