Indiana
Professional Licensing Agency
Christine L. Smith
Radiology Provisional Permit
License number
XP500137
Date granted
02/16/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Newburgh IN 476302080
indianalicensing.org
ID 8494344
LAST UPDATED 2026-06-08 23:55:57 UTC
LAST UPDATED 2026-06-08 23:55:57 UTC
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