Indiana
Professional Licensing Agency
Beth A. Brown
Radiology Provisional Permit
License number
XP504703
Date granted
04/23/2013
Date expires
10/23/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Trafalgar IN 46181
indianalicensing.org
ID 8495698
LAST UPDATED 2024-05-09 00:51:23 UTC
LAST UPDATED 2024-05-09 00:51:23 UTC
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