Indiana
Professional Licensing Agency
Dana M. Peabody
Radiology Provisional Permit
License number
XP505810
Date granted
08/25/2014
Date expires
02/25/2015
Class
Radiology Provisional Permit
Status
Active
Address
Bedford IN 47421
indianalicensing.org
ID 29205979
LAST UPDATED 2024-04-14 10:59:08 UTC
LAST UPDATED 2024-04-14 10:59:08 UTC
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