Indiana
Professional Licensing Agency
Charlotte A. Burtton
Radiology Provisional Permit
License number
XP503178
Date granted
02/15/2011
Date expires
08/15/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46409-2001
indianalicensing.org
ID 8491206
LAST UPDATED 2024-02-22 21:18:40 UTC
LAST UPDATED 2024-02-22 21:18:40 UTC
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