Indiana
Professional Licensing Agency
Allissa L. Mitchell
Radiology Provisional Permit
License number
XP503834
Date granted
01/27/2012
Date expires
07/27/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46803
indianalicensing.org
ID 8490847
LAST UPDATED 2024-02-18 02:18:10 UTC
LAST UPDATED 2024-02-18 02:18:10 UTC
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