Indiana
Professional Licensing Agency
Bridget R. Collins
Radiology Provisional Permit
License number
XP504543
Date granted
02/15/2013
Date expires
08/15/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Brookville IN 47012
indianalicensing.org
ID 8489249
LAST UPDATED 2026-04-17 22:32:29 UTC
LAST UPDATED 2026-04-17 22:32:29 UTC
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