Indiana
Professional Licensing Agency
Brooke M. Hackler
Radiology Provisional Permit
License number
XP504520
Date granted
02/12/2013
Date expires
08/12/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Oolitic IN 47451
indianalicensing.org
ID 8494556
LAST UPDATED 2024-02-10 02:52:23 UTC
LAST UPDATED 2024-02-10 02:52:23 UTC
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