Indiana
Professional Licensing Agency
Beth C. Mullenix
Radiology Provisional Permit
License number
XP502416
Date granted
03/09/2010
Date expires
09/09/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hobart IN 46342-3466
indianalicensing.org
ID 8492029
LAST UPDATED 2024-02-21 09:08:08 UTC
LAST UPDATED 2024-02-21 09:08:08 UTC
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