Indiana
Professional Licensing Agency
Autumn R. Mullin
Radiology Provisional Permit
License number
XP502375
Date granted
02/25/2010
Date expires
08/25/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Richmond IN 47374
indianalicensing.org
ID 8489358
LAST UPDATED 2026-04-10 01:43:41 UTC
LAST UPDATED 2026-04-10 01:43:41 UTC
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