Indiana
Professional Licensing Agency
Brehanna N. Hall
Radiology Provisional Permit
License number
XP505511
Date granted
04/25/2014
Date expires
10/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salem IN 47167
indianalicensing.org
ID 29207546
LAST UPDATED 2024-03-08 05:07:05 UTC
LAST UPDATED 2024-03-08 05:07:05 UTC
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