Indiana
Professional Licensing Agency
Megan R. Kellem
Radiology Provisional Permit
License number
XP502256
Date granted
01/13/2010
Date expires
07/13/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Corydon IN 47112-2224
indianalicensing.org
ID 8489878
LAST UPDATED 2024-03-31 17:57:42 UTC
LAST UPDATED 2024-03-31 17:57:42 UTC
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