Indiana
Professional Licensing Agency
Laura A. Burke
Radiology Provisional Permit
License number
XP505588
Date granted
05/30/2014
Date expires
11/30/2014
Class
Radiology Provisional Permit
Status
Active
Address
Fort Wayne IN 46804
indianalicensing.org
ID 29206439
LAST UPDATED 2024-03-16 14:15:28 UTC
LAST UPDATED 2024-03-16 14:15:28 UTC
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