Indiana
Professional Licensing Agency
Antaneahi L. Bouie
Radiology Provisional Permit
License number
XP505233
Date granted
01/27/2014
Date expires
07/27/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
East Chicago IN 46312
indianalicensing.org
ID 29206270
LAST UPDATED 2024-04-23 10:12:20 UTC
LAST UPDATED 2024-04-23 10:12:20 UTC
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