Indiana
Professional Licensing Agency
Beth A. Haddad
Radiology Provisional Permit
License number
XP501953
Date granted
08/27/2009
Date expires
02/27/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 46383-5094
indianalicensing.org
ID 8495763
LAST UPDATED 2024-03-01 15:51:00 UTC
LAST UPDATED 2024-03-01 15:51:00 UTC
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