Indiana
Professional Licensing Agency
Crystal R. Thomas
Radiology Provisional Permit
License number
XP504987
Date granted
09/19/2013
Date expires
03/19/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Cedar Lake IN 46303
indianalicensing.org
ID 8489477
LAST UPDATED 2024-04-29 08:03:07 UTC
LAST UPDATED 2024-04-29 08:03:07 UTC
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