Indiana
Professional Licensing Agency
Ashley R. Fedock
Radiology Provisional Permit
License number
XP503208
Date granted
02/23/2011
Date expires
08/23/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46807-1328
indianalicensing.org
ID 8490869
LAST UPDATED 2024-03-31 17:52:22 UTC
LAST UPDATED 2024-03-31 17:52:22 UTC
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