Indiana
Professional Licensing Agency
Candise P. Deck
Radiology Provisional Permit
License number
XP505180
Date granted
01/16/2014
Date expires
07/16/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Modoc IN 47358
indianalicensing.org
ID 29207172
LAST UPDATED 2024-04-23 22:10:39 UTC
LAST UPDATED 2024-04-23 22:10:39 UTC
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