Indiana
Professional Licensing Agency
Barbara J. Smith
Radiology Provisional Permit
License number
XP505083
Date granted
11/01/2013
Date expires
05/01/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46825
indianalicensing.org
ID 12406252
LAST UPDATED 2024-03-18 00:16:44 UTC
LAST UPDATED 2024-03-18 00:16:44 UTC
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