Indiana
Professional Licensing Agency
Judy Coffey
Radiology Provisional Permit
License number
XP505541
Date granted
05/07/2014
Date expires
11/07/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Cicero IN 46034
indianalicensing.org
ID 29206105
LAST UPDATED 2024-02-15 11:43:58 UTC
LAST UPDATED 2024-02-15 11:43:58 UTC
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