Indiana
Professional Licensing Agency
Alicia R. Henderson
Radiology Provisional Permit
License number
XP505268
Date granted
01/31/2014
Date expires
07/31/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Richmond IN 47374
indianalicensing.org
ID 29207487
LAST UPDATED 2024-02-17 13:11:31 UTC
LAST UPDATED 2024-02-17 13:11:31 UTC
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