Indiana
Professional Licensing Agency
Adrienne F. Desiderio
Radiology Provisional Permit
License number
XP504121
Date granted
06/21/2012
Date expires
12/21/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46323
indianalicensing.org
ID 8491723
LAST UPDATED 2024-04-19 02:32:26 UTC
LAST UPDATED 2024-04-19 02:32:26 UTC
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