Indiana
Professional Licensing Agency
Antwan M. Kidd
Radiology Provisional Permit
License number
XP502552
Date granted
05/12/2010
Date expires
11/12/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46323-2432
indianalicensing.org
ID 8491733
LAST UPDATED 2024-02-25 16:36:30 UTC
LAST UPDATED 2024-02-25 16:36:30 UTC
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