Indiana
Professional Licensing Agency
Tiffany Sanders
Radiology Provisional Permit
License number
XP505078
Date granted
10/30/2013
Date expires
04/30/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368
indianalicensing.org
ID 12408732
LAST UPDATED 2024-03-20 20:55:19 UTC
LAST UPDATED 2024-03-20 20:55:19 UTC
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