Indiana
Professional Licensing Agency
Elizabeth C. Grant
Radiology Provisional Permit
License number
XP505248
Date granted
01/28/2014
Date expires
07/28/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salem IN 47167
indianalicensing.org
ID 29207551
LAST UPDATED 2024-02-20 07:19:11 UTC
LAST UPDATED 2024-02-20 07:19:11 UTC
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