Indiana
Professional Licensing Agency
Brooke L. Friend
Radiology Provisional Permit
License number
XP503819
Date granted
01/19/2012
Date expires
07/19/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Muncie IN 47302
indianalicensing.org
ID 8494021
LAST UPDATED 2024-02-05 09:07:11 UTC
LAST UPDATED 2024-02-05 09:07:11 UTC
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