Indiana
Professional Licensing Agency
Allysa R. Anderson
Radiology Provisional Permit
License number
XP505434
Date granted
03/26/2014
Date expires
09/26/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crawfordsville IN 47933
indianalicensing.org
ID 29206192
LAST UPDATED 2024-02-08 06:00:48 UTC
LAST UPDATED 2024-02-08 06:00:48 UTC
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