Indiana
Professional Licensing Agency
Alissa M. Perkins
Radiology Provisional Permit
License number
XP504194
Date granted
08/13/2012
Date expires
02/13/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Kendallville IN 46755
indianalicensing.org
ID 8492910
LAST UPDATED 2024-02-28 11:29:23 UTC
LAST UPDATED 2024-02-28 11:29:23 UTC
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