Indiana
Professional Licensing Agency
Tara M. Whitlock
Radiology Student Permit
License number
XS005110
Date granted
08/24/2011
Date expires
11/30/2012
Class
Radiology Student Permit
Status
Superceded
Address
Lafayette IN 47905-1748
indianalicensing.org
ID 8500973
LAST UPDATED 2026-03-20 09:05:43 UTC
LAST UPDATED 2026-03-20 09:05:43 UTC
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