Indiana
Professional Licensing Agency
Alyssa R. Gortney
Radiology Provisional Permit
License number
XP502918
Date granted
10/18/2010
Date expires
04/18/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Cromwell IN 46732-9631
indianalicensing.org
ID 8489956
LAST UPDATED 2026-06-09 10:15:14 UTC
LAST UPDATED 2026-06-09 10:15:14 UTC
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