Indiana
Professional Licensing Agency
Christa L. Virt
Radiology Provisional Permit
License number
XP500571
Date granted
07/22/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 462191943
indianalicensing.org
ID 8492238
LAST UPDATED 2024-05-31 15:53:32 UTC
LAST UPDATED 2024-05-31 15:53:32 UTC
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