Indiana
Professional Licensing Agency
Candace Wilson
Radiology Provisional Permit
License number
XP501758
Date granted
04/28/2009
Date expires
10/28/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 46385-7393
indianalicensing.org
ID 8495775
LAST UPDATED 2024-02-10 05:46:37 UTC
LAST UPDATED 2024-02-10 05:46:37 UTC
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