Indiana
Professional Licensing Agency
Adrienne L. Heffernan
Radiology Provisional Permit
License number
XP501058
Date granted
03/28/2008
Date expires
09/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gaston IN 47342-9220
indianalicensing.org
ID 8491310
LAST UPDATED 2026-03-22 15:47:53 UTC
LAST UPDATED 2026-03-22 15:47:53 UTC
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