Indiana
Professional Licensing Agency
Kathleen S. Grisham
Radiology Provisional Permit
License number
XP503184
Date granted
02/15/2011
Date expires
08/15/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jeffersonville IN 47130
indianalicensing.org
ID 8489639
LAST UPDATED 2024-04-19 19:50:13 UTC
LAST UPDATED 2024-04-19 19:50:13 UTC
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