Indiana
Professional Licensing Agency
Patty A. Shaughnessy
Radiology Provisional Permit
License number
XP502280
Date granted
01/26/2010
Date expires
07/26/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368-4603
indianalicensing.org
ID 8494870
LAST UPDATED 2024-03-17 22:40:03 UTC
LAST UPDATED 2024-03-17 22:40:03 UTC
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