Indiana
Professional Licensing Agency
Chase M. Lewandowski
Radiology Provisional Permit
License number
XP503477
Date granted
06/30/2011
Date expires
12/30/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Plymouth IN 46563-2804
indianalicensing.org
ID 8494789
LAST UPDATED 2026-04-09 21:42:54 UTC
LAST UPDATED 2026-04-09 21:42:54 UTC
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