Indiana
Professional Licensing Agency
Angie Maxwell
Radiology Provisional Permit
License number
XP502492
Date granted
04/08/2010
Date expires
10/08/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Peru IN 46970-7038
indianalicensing.org
ID 8494718
LAST UPDATED 2024-02-26 23:55:22 UTC
LAST UPDATED 2024-02-26 23:55:22 UTC
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