Indiana
Professional Licensing Agency
Christi Heuser Egenolf
Radiology Provisional Permit
License number
XP505950
Date granted
10/21/2014
Date expires
04/21/2015
Class
Radiology Provisional Permit
Status
Active
Address
Indianapolis IN 46236
indianalicensing.org
ID 29206764
LAST UPDATED 2024-01-08 02:34:06 UTC
LAST UPDATED 2024-01-08 02:34:06 UTC
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