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  • Application For Proficiency Certification For Limited Radiographer - In.gov - Indiana

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APPLICATION FOR PROFICIENCY CERTIFICATION FOR LIMITED RADIOGRAPHER State Form 53194 (R2 / 2-10) INDIANA STATE DEPARTMENT OF HEALTH DIVISION OF MEDICAL RADIOLOGY SERVICES 2 North Meridian Street, 5F.

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Name Change: If you need to change your name on your license, please send proof of your name change (copy of marriage license, specific pages of divorce decree, legal name change document) to the division at Radiology@health.IN.gov with your old name, new name, license number, last 4 digits of your Social Security ...

APPLY FOR THE INDIANA X-RAY OPERATOR'S LICENSE FROM THE INDIANA STATE DEPARTMENT OF HEALTH (APPLICATION ON THE ISDH WEBSITE) AND SUBMIT THE FEE OF $60.00 ALONG WITH COPIES OF THE SIX CERTIFICATES OF COMPLETION FROM THE ADAA, COPIES OF THE DANB CERTIFICATE AND THE CERTIFICATE OF PROFICIENCY SIGNED BY THE DENTIST.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232