Indiana
Professional Licensing Agency
Amy L. Bullock
Radiology Provisional Permit
License number
XP500935
Date granted
01/24/2008
Date expires
07/24/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46217-9100
indianalicensing.org
ID 8492128
LAST UPDATED 2024-04-09 02:03:32 UTC
LAST UPDATED 2024-04-09 02:03:32 UTC
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