Indiana
Professional Licensing Agency
Brooke L. Smith
Radiology Provisional Permit
License number
XP501590
Date granted
01/30/2009
Date expires
07/30/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Terre Haute IN 47802
indianalicensing.org
ID 8495645
LAST UPDATED 2024-03-17 04:31:53 UTC
LAST UPDATED 2024-03-17 04:31:53 UTC
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