Indiana
Professional Licensing Agency
Dana L. Gootee
Radiology Provisional Permit
License number
XP503811
Date granted
01/04/2012
Date expires
07/04/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150-9761
indianalicensing.org
ID 8494139
LAST UPDATED 2024-01-23 18:49:04 UTC
LAST UPDATED 2024-01-23 18:49:04 UTC
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