Indiana
Professional Licensing Agency
Cindy A. Green
Radiology Provisional Permit
License number
XP500603
Date granted
11/04/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lafayette IN 479097388
indianalicensing.org
ID 8493098
LAST UPDATED 2024-03-26 11:27:59 UTC
LAST UPDATED 2024-03-26 11:27:59 UTC
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