Indiana
Professional Licensing Agency
Bonnie Green
Radiology Provisional Permit
License number
XP504847
Date granted
07/23/2013
Date expires
01/23/2014
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46220
indianalicensing.org
ID 8492177
LAST UPDATED 2026-05-18 15:29:35 UTC
LAST UPDATED 2026-05-18 15:29:35 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.