Indiana
Professional Licensing Agency
Nicole A. Alexander
Radiology Provisional Permit
License number
XP504026
Date granted
04/17/2012
Date expires
10/17/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elwood IN 46036
indianalicensing.org
ID 8490521
LAST UPDATED 2024-04-19 06:15:05 UTC
LAST UPDATED 2024-04-19 06:15:05 UTC
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