Indiana
Professional Licensing Agency
Crystal M. Brown
Radiology Provisional Permit
License number
XP500634
Date granted
01/27/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 463834663
indianalicensing.org
ID 8495789
LAST UPDATED 2024-02-20 11:23:26 UTC
LAST UPDATED 2024-02-20 11:23:26 UTC
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