Indiana
Professional Licensing Agency
Cynthia A. Baker
Radiology Provisional Permit
License number
XP502067
Date granted
10/20/2009
Date expires
04/20/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mooresville IN 46158-0801
indianalicensing.org
ID 8493961
LAST UPDATED 2026-04-09 20:04:12 UTC
LAST UPDATED 2026-04-09 20:04:12 UTC
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