Indiana
Professional Licensing Agency
Candice S. York
Radiology Provisional Permit
License number
XP500781
Date granted
08/20/2007
Date expires
05/08/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Brooklyn IN 46111-0156
indianalicensing.org
ID 8489251
LAST UPDATED 2026-04-10 19:34:39 UTC
LAST UPDATED 2026-04-10 19:34:39 UTC
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