Indiana
Professional Licensing Agency
Shirley J. Smith
Radiology Provisional Permit
License number
XP502220
Date granted
12/08/2009
Date expires
06/08/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46408-1244
indianalicensing.org
ID 8491272
LAST UPDATED 2024-04-13 06:46:25 UTC
LAST UPDATED 2024-04-13 06:46:25 UTC
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