Indiana
Professional Licensing Agency
Danielle M. Thacker
Radiology Provisional Permit
License number
XP503022
Date granted
11/30/2010
Date expires
05/30/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Stroh IN 46789-0184
indianalicensing.org
ID 8495583
LAST UPDATED 2026-05-30 01:54:49 UTC
LAST UPDATED 2026-05-30 01:54:49 UTC
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