Indiana
Professional Licensing Agency
LeeAnn Miskowiec
Radiology Provisional Permit
License number
XP500458
Date granted
08/26/2004
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jamestown IN 461470143
indianalicensing.org
ID 8492738
LAST UPDATED 2024-04-18 18:17:14 UTC
LAST UPDATED 2024-04-18 18:17:14 UTC
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