Indiana
Professional Licensing Agency
Darci A. Leisure
Radiology Provisional Permit
License number
XP501970
Date granted
09/09/2009
Date expires
03/09/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elwood IN 46036-1185
indianalicensing.org
ID 8490506
LAST UPDATED 2024-04-22 11:45:49 UTC
LAST UPDATED 2024-04-22 11:45:49 UTC
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