Indiana
Professional Licensing Agency
Ann R. Holst
Radiology Provisional Permit
License number
XP500375
Date granted
10/06/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Osceola IN 465612209
indianalicensing.org
ID 8494595
LAST UPDATED 2024-04-12 15:38:59 UTC
LAST UPDATED 2024-04-12 15:38:59 UTC
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