Indiana
Professional Licensing Agency
Candee Hartman
Radiology Provisional Permit
License number
XP505230
Date granted
01/27/2014
Date expires
07/27/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46805
indianalicensing.org
ID 29206408
LAST UPDATED 2024-02-24 07:28:17 UTC
LAST UPDATED 2024-02-24 07:28:17 UTC
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