Indiana
Professional Licensing Agency
Samantha B. Haggard
Radiology Provisional Permit
License number
XP505177
Date granted
01/16/2014
Date expires
07/16/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Castle IN 47362
indianalicensing.org
ID 29207294
LAST UPDATED 2024-02-22 06:04:31 UTC
LAST UPDATED 2024-02-22 06:04:31 UTC
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