Indiana
Professional Licensing Agency
Jessica L. Fithian
Radiology Provisional Permit
License number
XP504888
Date granted
08/13/2013
Date expires
02/13/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Boonville IN 47601
indianalicensing.org
ID 8489162
LAST UPDATED 2024-03-13 14:40:45 UTC
LAST UPDATED 2024-03-13 14:40:45 UTC
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