Indiana
Professional Licensing Agency
Brittany C.R. Woodard
Radiology Provisional Permit
License number
XP505001
Date granted
09/27/2013
Date expires
03/27/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 46383
indianalicensing.org
ID 8495768
LAST UPDATED 2024-04-19 08:21:32 UTC
LAST UPDATED 2024-04-19 08:21:32 UTC
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