Indiana
Professional Licensing Agency
Rebecca K. Tam
Radiology Provisional Permit
License number
XP502390
Date granted
03/03/2010
Date expires
09/03/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Dyer IN 46311-2286
indianalicensing.org
ID 8490253
LAST UPDATED 2024-04-28 08:32:52 UTC
LAST UPDATED 2024-04-28 08:32:52 UTC
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