Indiana
Professional Licensing Agency
Cary L. Douglass
Radiology Provisional Permit
License number
XP501571
Date granted
01/21/2009
Date expires
07/21/2009
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46235-7981
indianalicensing.org
ID 8492220
LAST UPDATED 2024-04-11 02:53:32 UTC
LAST UPDATED 2024-04-11 02:53:32 UTC
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