Indiana
Professional Licensing Agency
Tammy R. Roberts
Radiology Provisional Permit
License number
XP500296
Date granted
06/09/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Superceded
Address
Greenwood IN 46142
indianalicensing.org
ID 8492652
LAST UPDATED 2024-04-01 00:07:50 UTC
LAST UPDATED 2024-04-01 00:07:50 UTC
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