Indiana
Professional Licensing Agency
Danielle Russo
Radiology Provisional Permit
License number
XP502081
Date granted
10/20/2009
Date expires
04/20/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307-7048
indianalicensing.org
ID 8489985
LAST UPDATED 2024-03-25 10:54:10 UTC
LAST UPDATED 2024-03-25 10:54:10 UTC
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