Indiana
Professional Licensing Agency
Ann M. Bushong
Radiology Provisional Permit
License number
XP503815
Date granted
01/19/2012
Date expires
07/19/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lafayette IN 47909
indianalicensing.org
ID 8493078
LAST UPDATED 2024-03-22 09:17:34 UTC
LAST UPDATED 2024-03-22 09:17:34 UTC
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