Indiana
Professional Licensing Agency
Destiny L. Longwell
Radiology Provisional Permit
License number
XP505034
Date granted
10/03/2013
Date expires
04/03/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jeffersonville IN 47130
indianalicensing.org
ID 8492799
LAST UPDATED 2024-05-07 11:59:13 UTC
LAST UPDATED 2024-05-07 11:59:13 UTC
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