Indiana
Professional Licensing Agency
Cassandra V. Lewis
Radiology Provisional Permit
License number
XP500834
Date granted
10/16/2007
Date expires
04/16/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46324-3303
indianalicensing.org
ID 8491751
LAST UPDATED 2024-03-05 05:44:55 UTC
LAST UPDATED 2024-03-05 05:44:55 UTC
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