Indiana
Professional Licensing Agency
Beth A. Lichty
Radiology Provisional Permit
License number
XP502060
Date granted
10/20/2009
Date expires
04/20/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Haven IN 46774
indianalicensing.org
ID 8494276
LAST UPDATED 2024-04-09 22:19:04 UTC
LAST UPDATED 2024-04-09 22:19:04 UTC
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