Indiana
Professional Licensing Agency
Crystal G. Smock
Radiology Provisional Permit
License number
XP502344
Date granted
02/12/2010
Date expires
08/12/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Terre Haute IN 47804-1921
indianalicensing.org
ID 8495653
LAST UPDATED 2024-04-09 20:10:40 UTC
LAST UPDATED 2024-04-09 20:10:40 UTC
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