Indiana
Professional Licensing Agency
Candace A. Smith
Radiology Provisional Permit
License number
XP505009
Date granted
09/27/2013
Date expires
03/27/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150
indianalicensing.org
ID 8494129
LAST UPDATED 2024-04-19 13:41:35 UTC
LAST UPDATED 2024-04-19 13:41:35 UTC
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