Indiana
Professional Licensing Agency
Brandy E. Parks
Radiology Provisional Permit
License number
XP500926
Date granted
01/24/2008
Date expires
07/24/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46227-7822
indianalicensing.org
ID 8492180
LAST UPDATED 2024-02-13 19:10:43 UTC
LAST UPDATED 2024-02-13 19:10:43 UTC
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