Indiana
Professional Licensing Agency
Brenda J. Wathen
Radiology Provisional Permit
License number
XP503175
Date granted
02/15/2011
Date expires
08/15/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Vincennes IN 47591-6857
indianalicensing.org
ID 8495874
LAST UPDATED 2024-04-11 09:44:25 UTC
LAST UPDATED 2024-04-11 09:44:25 UTC
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