Indiana
Professional Licensing Agency
Natasha A. Clark
Radiology Provisional Permit
License number
XP505779
Date granted
08/15/2014
Date expires
02/15/2015
Class
Radiology Provisional Permit
Status
Active
Address
Jeffersonville IN 47130
indianalicensing.org
ID 29206891
LAST UPDATED 2024-02-16 14:07:51 UTC
LAST UPDATED 2024-02-16 14:07:51 UTC
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