Indiana
Professional Licensing Agency
Lisa Walker
Radiology Provisional Permit
License number
XP501148
Date granted
04/24/2008
Date expires
10/24/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Palmyra IN 47164-6984
indianalicensing.org
ID 8494645
LAST UPDATED 2024-02-12 22:51:08 UTC
LAST UPDATED 2024-02-12 22:51:08 UTC
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