Indiana
Professional Licensing Agency
Tela J. Grundy
Radiology Provisional Permit
License number
XP505781
Date granted
08/15/2014
Date expires
02/15/2015
Class
Radiology Provisional Permit
Status
Active
Address
New Albany IN 47150
indianalicensing.org
ID 29207268
LAST UPDATED 2024-04-25 02:54:36 UTC
LAST UPDATED 2024-04-25 02:54:36 UTC
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