Indiana
Professional Licensing Agency
Mary E. Ladd
Radiology Provisional Permit
License number
XP500197
Date granted
08/04/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Russiaville IN 469799750
indianalicensing.org
ID 8495070
LAST UPDATED 2024-05-21 14:30:00 UTC
LAST UPDATED 2024-05-21 14:30:00 UTC
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