Indiana
Professional Licensing Agency
Brook E. Diehl
Radiology Provisional Permit
License number
XP504925
Date granted
08/26/2013
Date expires
02/26/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Wolflake IN 46796
indianalicensing.org
ID 8492921
LAST UPDATED 2026-07-16 21:50:19 UTC
LAST UPDATED 2026-07-16 21:50:19 UTC
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