Indiana
Professional Licensing Agency
Constance J. Sperry
Radiology Provisional Permit
License number
XP503967
Date granted
03/23/2012
Date expires
09/23/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elkhart IN 46516
indianalicensing.org
ID 8490384
LAST UPDATED 2024-02-02 02:48:19 UTC
LAST UPDATED 2024-02-02 02:48:19 UTC
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