Indiana
Professional Licensing Agency
Alicia M. Edmonds
Radiology Provisional Permit
License number
XP501078
Date granted
03/28/2008
Date expires
09/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Madison IN 47250
indianalicensing.org
ID 8493443
LAST UPDATED 2024-02-20 16:31:30 UTC
LAST UPDATED 2024-02-20 16:31:30 UTC
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