Indiana
Professional Licensing Agency
Belinda P. Mallette
Radiology Provisional Permit
License number
XP503758
Date granted
12/05/2011
Date expires
06/05/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
East Chicago IN 46312-2236
indianalicensing.org
ID 8490273
LAST UPDATED 2024-04-21 09:07:34 UTC
LAST UPDATED 2024-04-21 09:07:34 UTC
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