Indiana
Professional Licensing Agency
Miranda M. Hendricks
Radiology Provisional Permit
License number
XP504926
Date granted
08/29/2013
Date expires
02/28/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Logansport IN 46947
indianalicensing.org
ID 8493370
LAST UPDATED 2024-04-14 05:20:04 UTC
LAST UPDATED 2024-04-14 05:20:04 UTC
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