Indiana
Professional Licensing Agency
Angela M. Avis
Radiology Provisional Permit
License number
XP501880
Date granted
07/07/2009
Date expires
01/07/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150-2048
indianalicensing.org
ID 8494120
LAST UPDATED 2026-04-05 14:03:20 UTC
LAST UPDATED 2026-04-05 14:03:20 UTC
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