Indiana
Professional Licensing Agency
Alissa Myers
Radiology Provisional Permit
License number
XP502170
Date granted
11/19/2009
Date expires
05/19/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portland IN 47371
indianalicensing.org
ID 8494890
LAST UPDATED 2024-02-23 13:56:23 UTC
LAST UPDATED 2024-02-23 13:56:23 UTC
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