Indiana
Professional Licensing Agency
Shelby Forsyth
Radiology Provisional Permit
License number
XP505320
Date granted
02/12/2014
Date expires
08/12/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46217
indianalicensing.org
ID 29206840
LAST UPDATED 2024-02-23 02:57:38 UTC
LAST UPDATED 2024-02-23 02:57:38 UTC
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