Indiana
Professional Licensing Agency
Anjel M. Clark
Radiology Provisional Permit
License number
XP504981
Date granted
09/19/2013
Date expires
03/19/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Centerville IN 47330
indianalicensing.org
ID 8489501
LAST UPDATED 2024-02-27 08:34:18 UTC
LAST UPDATED 2024-02-27 08:34:18 UTC
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