Indiana
Professional Licensing Agency
Alyssa S. Witvoet
Radiology Provisional Permit
License number
XP503408
Date granted
05/26/2011
Date expires
11/26/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lowell IN 46356-1949
indianalicensing.org
ID 8493394
LAST UPDATED 2024-02-26 08:09:27 UTC
LAST UPDATED 2024-02-26 08:09:27 UTC
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