Indiana
Professional Licensing Agency
Allan M. Herrtiz
Radiology Provisional Permit
License number
XP503286
Date granted
04/05/2011
Date expires
10/05/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Castle IN 47362-8913
indianalicensing.org
ID 8494208
LAST UPDATED 2024-03-23 22:28:06 UTC
LAST UPDATED 2024-03-23 22:28:06 UTC
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