Indiana
Professional Licensing Agency
Ashley R. Martin-Basham
Radiology Provisional Permit
License number
XP502106
Date granted
10/26/2009
Date expires
04/26/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150-3835
indianalicensing.org
ID 8494125
LAST UPDATED 2024-04-06 05:24:44 UTC
LAST UPDATED 2024-04-06 05:24:44 UTC
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