Indiana
Professional Licensing Agency
Amber L. Fulk
Radiology Provisional Permit
License number
XP503873
Date granted
02/09/2012
Date expires
08/09/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Switz City IN 47465
indianalicensing.org
ID 8495615
LAST UPDATED 2024-04-05 11:53:47 UTC
LAST UPDATED 2024-04-05 11:53:47 UTC
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