Indiana
Professional Licensing Agency
Tiffany M. Amburn
Radiology Provisional Permit
License number
XP501373
Date granted
09/18/2008
Date expires
03/18/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Muncie IN 47304-4018
indianalicensing.org
ID 8494078
LAST UPDATED 2024-04-12 13:54:46 UTC
LAST UPDATED 2024-04-12 13:54:46 UTC
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