Indiana
Professional Licensing Agency
Brook R. Dean
Radiology Provisional Permit
License number
XP502031
Date granted
10/01/2009
Date expires
04/01/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salem IN 47167-8634
indianalicensing.org
ID 8495103
LAST UPDATED 2024-03-25 13:26:54 UTC
LAST UPDATED 2024-03-25 13:26:54 UTC
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