Indiana
Professional Licensing Agency
Alexis M Trantum
Radiology Provisional Permit
License number
XP505470
Date granted
04/10/2014
Date expires
10/10/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jeffersonville IN 47130
indianalicensing.org
ID 29206868
LAST UPDATED 2024-02-19 05:06:30 UTC
LAST UPDATED 2024-02-19 05:06:30 UTC
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