Indiana
Professional Licensing Agency
Brittney F. Gordon
Radiology Provisional Permit
License number
XP501060
Date granted
03/28/2008
Date expires
09/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46617-1430
indianalicensing.org
ID 8495385
LAST UPDATED 2024-03-18 17:58:12 UTC
LAST UPDATED 2024-03-18 17:58:12 UTC
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