Indiana
Professional Licensing Agency
Andrea N. Crump
Radiology Provisional Permit
License number
XP500274
Date granted
06/09/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 462212551
indianalicensing.org
ID 8492131
LAST UPDATED 2024-02-17 20:49:58 UTC
LAST UPDATED 2024-02-17 20:49:58 UTC
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