Indiana
Professional Licensing Agency
Amy L. Lasley
Radiology Provisional Permit
License number
XP504889
Date granted
08/13/2013
Date expires
02/13/2014
Class
Radiology Provisional Permit
Status
Superceded
Address
Valparaiso IN 46385
indianalicensing.org
ID 8495756
LAST UPDATED 2024-04-02 23:42:14 UTC
LAST UPDATED 2024-04-02 23:42:14 UTC
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