Indiana
Professional Licensing Agency
Falicia M. Roudebush
Radiology Provisional Permit
License number
XP504696
Date granted
04/23/2013
Date expires
10/23/2013
Class
Radiology Provisional Permit
Status
Superceded
Address
Elwood IN 46036
indianalicensing.org
ID 8491152
LAST UPDATED 2024-02-18 07:52:41 UTC
LAST UPDATED 2024-02-18 07:52:41 UTC
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