Indiana
Professional Licensing Agency
Courtney E. Brown
Radiology Provisional Permit
License number
XP500538
Date granted
02/11/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Montezuma IN 478628041
indianalicensing.org
ID 8493913
LAST UPDATED 2024-01-12 07:06:25 UTC
LAST UPDATED 2024-01-12 07:06:25 UTC
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