Indiana
Professional Licensing Agency
Andrea C. Mason
Radiology Provisional Permit
License number
XP502361
Date granted
02/22/2010
Date expires
08/22/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Georgetown IN 47122-7376
indianalicensing.org
ID 8491320
LAST UPDATED 2024-03-03 15:56:31 UTC
LAST UPDATED 2024-03-03 15:56:31 UTC
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