Indiana
Professional Licensing Agency
Bethany L. Edmonds
Radiology Provisional Permit
License number
XP502811
Date granted
09/02/2010
Date expires
03/02/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Montpelier IN 47359-1478
indianalicensing.org
ID 8493924
LAST UPDATED 2024-03-01 18:28:53 UTC
LAST UPDATED 2024-03-01 18:28:53 UTC
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