Indiana
Professional Licensing Agency
Dana L. Okulovich
Radiology Provisional Permit
License number
XP503663
Date granted
09/28/2011
Date expires
03/28/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Brazil IN 47834
indianalicensing.org
ID 8489206
LAST UPDATED 2024-04-16 08:44:16 UTC
LAST UPDATED 2024-04-16 08:44:16 UTC
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