Indiana
Professional Licensing Agency
Carrie L. Vavul
Radiology Provisional Permit
License number
XP503348
Date granted
04/27/2011
Date expires
10/27/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46635-1551
indianalicensing.org
ID 8495391
LAST UPDATED 2024-03-15 13:49:49 UTC
LAST UPDATED 2024-03-15 13:49:49 UTC
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