Indiana
Professional Licensing Agency
Crystal A. Wilson
Radiology Provisional Permit
License number
XP504633
Date granted
03/27/2013
Date expires
09/27/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46408
indianalicensing.org
ID 8491209
LAST UPDATED 2024-04-11 22:46:55 UTC
LAST UPDATED 2024-04-11 22:46:55 UTC
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