Indiana
Professional Licensing Agency
Angela Grubb
Radiology Provisional Permit
License number
XP504036
Date granted
04/24/2012
Date expires
10/24/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Seymour IN 47274
indianalicensing.org
ID 8495269
LAST UPDATED 2024-03-01 03:08:08 UTC
LAST UPDATED 2024-03-01 03:08:08 UTC
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