Indiana
Professional Licensing Agency
Athena B. Gorder
Radiology Provisional Permit
License number
XP500254
Date granted
03/08/2002
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greenwood IN 461422119
indianalicensing.org
ID 8491579
LAST UPDATED 2024-04-03 18:16:21 UTC
LAST UPDATED 2024-04-03 18:16:21 UTC
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