Indiana
Professional Licensing Agency
Whitney Washington
Radiology Provisional Permit
License number
XP505460
Date granted
04/04/2014
Date expires
10/04/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46805
indianalicensing.org
ID 29206462
LAST UPDATED 2024-04-11 21:03:09 UTC
LAST UPDATED 2024-04-11 21:03:09 UTC
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