Indiana
Professional Licensing Agency
Anita R. Sisk
Radiology Provisional Permit
License number
XP500262
Date granted
06/09/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Michigan City IN 463600000
indianalicensing.org
ID 8493700
LAST UPDATED 2024-04-15 19:14:18 UTC
LAST UPDATED 2024-04-15 19:14:18 UTC
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