Indiana
Professional Licensing Agency
Amber L. Favia
Radiology Provisional Permit
License number
XP501831
Date granted
06/11/2009
Date expires
12/11/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307-3161
indianalicensing.org
ID 8489971
LAST UPDATED 2024-04-13 02:50:03 UTC
LAST UPDATED 2024-04-13 02:50:03 UTC
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