Indiana
Professional Licensing Agency
Brooke E. Shinall
Radiology Provisional Permit
License number
XP504991
Date granted
09/25/2013
Date expires
03/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46544
indianalicensing.org
ID 8493805
LAST UPDATED 2024-02-19 05:30:29 UTC
LAST UPDATED 2024-02-19 05:30:29 UTC
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