Indiana
Professional Licensing Agency
Addistasha J. Walton
Radiology Provisional Permit
License number
XP503303
Date granted
04/07/2011
Date expires
10/07/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46628-3102
indianalicensing.org
ID 8495367
LAST UPDATED 2024-04-19 17:41:10 UTC
LAST UPDATED 2024-04-19 17:41:10 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.