Indiana
Professional Licensing Agency
Beth A. Grigsby
Radiology Provisional Permit
License number
XP504859
Date granted
07/25/2013
Date expires
01/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portland IN 47371
indianalicensing.org
ID 8494893
LAST UPDATED 2026-05-06 15:38:59 UTC
LAST UPDATED 2026-05-06 15:38:59 UTC
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