Indiana
Professional Licensing Agency
Theresa L. Heckaman
Radiology Provisional Permit
License number
XP501631
Date granted
02/06/2009
Date expires
08/06/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Osceola IN 46561-8891
indianalicensing.org
ID 8494616
LAST UPDATED 2024-02-25 14:01:50 UTC
LAST UPDATED 2024-02-25 14:01:50 UTC
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