Indiana
Professional Licensing Agency
Brandy R. Gibson
Radiology Provisional Permit
License number
XP500281
Date granted
06/09/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Terre Haute IN 478052300
indianalicensing.org
ID 8495651
LAST UPDATED 2026-04-24 15:01:00 UTC
LAST UPDATED 2026-04-24 15:01:00 UTC
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