Indiana
Professional Licensing Agency
Crystal D. Stackhouse
Radiology Provisional Permit
License number
XP501436
Date granted
10/02/2008
Date expires
04/02/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Clarksville IN 47129-1042
indianalicensing.org
ID 8489628
LAST UPDATED 2024-02-16 12:12:02 UTC
LAST UPDATED 2024-02-16 12:12:02 UTC
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