Indiana
Professional Licensing Agency
Valeri J. Modafferi
Radiology Student Permit
License number
XS004114
Date granted
07/26/2010
Date expires
01/31/2012
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Brownsburg IN 46112-8184
indianalicensing.org
ID 8496900
LAST UPDATED 2024-03-08 05:46:05 UTC
LAST UPDATED 2024-03-08 05:46:05 UTC
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