Indiana
Professional Licensing Agency
Amy L. Grace
Radiology Provisional Permit
License number
XP502753
Date granted
08/25/2010
Date expires
02/25/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368-8025
indianalicensing.org
ID 8494806
LAST UPDATED 2024-03-05 07:10:07 UTC
LAST UPDATED 2024-03-05 07:10:07 UTC
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