Indiana
Professional Licensing Agency
Antrice K. Menifee
Radiology Provisional Permit
License number
XP503666
Date granted
09/28/2011
Date expires
03/28/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Marion IN 46953
indianalicensing.org
ID 8493492
LAST UPDATED 2024-02-27 13:34:30 UTC
LAST UPDATED 2024-02-27 13:34:30 UTC
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