Indiana
Professional Licensing Agency
Alyssa D. Hartman
Radiology Provisional Permit
License number
XP502432
Date granted
03/09/2010
Date expires
09/09/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46408-2354
indianalicensing.org
ID 8491197
LAST UPDATED 2024-04-24 01:41:22 UTC
LAST UPDATED 2024-04-24 01:41:22 UTC
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