Indiana
Professional Licensing Agency
Christina E. Petersen
Radiology Provisional Permit
License number
XP500521
Date granted
10/08/2004
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Noblesville IN 460609451
indianalicensing.org
ID 8494404
LAST UPDATED 2024-01-28 01:13:06 UTC
LAST UPDATED 2024-01-28 01:13:06 UTC
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