Indiana
Professional Licensing Agency
Amy M. Shreve
Radiology Provisional Permit
License number
XP505761
Date granted
08/11/2014
Date expires
02/11/2015
Class
Radiology Provisional Permit
Status
Active
Address
Demotte IN 46310
indianalicensing.org
ID 29206244
LAST UPDATED 2024-04-18 19:02:58 UTC
LAST UPDATED 2024-04-18 19:02:58 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.