Indiana
Professional Licensing Agency
Cynthia M. Donnelly
Radiology Provisional Permit
License number
XP500622
Date granted
12/16/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Shelbyville KY 400659090
indianalicensing.org
ID 8495288
LAST UPDATED 2026-06-05 13:01:43 UTC
LAST UPDATED 2026-06-05 13:01:43 UTC
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