Indiana
Professional Licensing Agency
Courtney L. Frantz
Radiology Provisional Permit
License number
XP504166
Date granted
07/31/2012
Date expires
01/31/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Wakarusa IN 46573
indianalicensing.org
ID 8495896
LAST UPDATED 2024-04-13 01:00:52 UTC
LAST UPDATED 2024-04-13 01:00:52 UTC
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