Indiana
Professional Licensing Agency
Kristen E. Mellis
Radiology Provisional Permit
License number
XP504614
Date granted
03/18/2013
Date expires
09/18/2013
Class
Radiology Provisional Permit
Status
Superceded
Address
Columbus IN 47203
indianalicensing.org
ID 8489755
LAST UPDATED 2024-05-18 09:44:01 UTC
LAST UPDATED 2024-05-18 09:44:01 UTC
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