Indiana
Professional Licensing Agency
Alan B. Farber
Radiology Provisional Permit
License number
XP505444
Date granted
03/26/2014
Date expires
09/26/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Laconia IN 47135
indianalicensing.org
ID 29206963
LAST UPDATED 2024-04-21 23:01:54 UTC
LAST UPDATED 2024-04-21 23:01:54 UTC
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