Indiana
Professional Licensing Agency
Danielle S. Johnson
Radiology Provisional Permit
License number
XP504827
Date granted
07/02/2013
Date expires
01/02/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Columbia City IN 46725
indianalicensing.org
ID 8489720
LAST UPDATED 2024-03-03 02:19:44 UTC
LAST UPDATED 2024-03-03 02:19:44 UTC
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