Indiana
Professional Licensing Agency
Courtney P. Isaac
Radiology Provisional Permit
License number
XP505699
Date granted
07/23/2014
Date expires
01/23/2015
Class
Radiology Provisional Permit
Status
Active
Address
Centerpoint IN 47840
indianalicensing.org
ID 29206079
LAST UPDATED 2026-04-08 03:54:02 UTC
LAST UPDATED 2026-04-08 03:54:02 UTC
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