Indiana
Professional Licensing Agency
Charlotte I. Phelps
Radiology Provisional Permit
License number
XP503782
Date granted
12/13/2011
Date expires
06/13/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 46383
indianalicensing.org
ID 8495778
LAST UPDATED 2024-02-10 21:20:38 UTC
LAST UPDATED 2024-02-10 21:20:38 UTC
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