Amanda S. Stack
Radiology Provisional Permit
Indiana XP504864 Superceded
This Indiana license was held by Amanda S. Stack. The license is no longer active. It was granted on 07/29/2013 and expired on 01/29/2014
LICENSE DETAILS
- License Number: XP504864
- Category: Radiology Provisional Permit
- Status: Superceded
- Date Granted: 07/29/2013 (almost 12 years ago)
- Expiry Date: 01/29/2014 (over 11 years ago)
LOCATIONS
A Address
Fort Wayne IN 46818