Indiana
Professional Licensing Agency
Aubrey D. Coppernoll
Radiology Provisional Permit
License number
XP505979
Date granted
10/22/2014
Date expires
04/22/2015
Class
Radiology Provisional Permit
Status
Active
Address
Logansport IN 46947
indianalicensing.org
ID 29207031
LAST UPDATED 2024-03-26 00:41:32 UTC
LAST UPDATED 2024-03-26 00:41:32 UTC
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