Indiana
Professional Licensing Agency
Tracy Lee
Radiology Provisional Permit
License number
XP502262
Date granted
01/13/2010
Date expires
07/13/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46250-2430
indianalicensing.org
ID 8492702
LAST UPDATED 2024-02-13 23:55:19 UTC
LAST UPDATED 2024-02-13 23:55:19 UTC
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