Indiana
Professional Licensing Agency
Tammy A. Hicks
Radiology Student Permit
License number
XS007302
Date granted
06/13/2014
Date expires
11/30/2016
Class
Radiology Student Permit
Status
Active
Address
Martinsville IN 46151
indianalicensing.org
ID 29209123
LAST UPDATED 2026-05-04 13:20:05 UTC
LAST UPDATED 2026-05-04 13:20:05 UTC
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