Indiana
Professional Licensing Agency
Danielle R. Dougherty
Radiology Provisional Permit
License number
XP505115
Date granted
12/06/2013
Date expires
06/06/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Monrovia IN 46157
indianalicensing.org
ID 29207178
LAST UPDATED 2024-04-21 07:28:10 UTC
LAST UPDATED 2024-04-21 07:28:10 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.