Indiana
Professional Licensing Agency
Ashley L. Wallace
Radiology Provisional Permit
License number
XP501816
Date granted
05/28/2009
Date expires
07/31/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307-2363
indianalicensing.org
ID 8489979
LAST UPDATED 2024-05-08 08:26:24 UTC
LAST UPDATED 2024-05-08 08:26:24 UTC
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