Indiana
Professional Licensing Agency
Dara J. Pate
Radiology Provisional Permit
License number
XP503881
Date granted
02/16/2012
Date expires
08/16/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Economy IN 47339
indianalicensing.org
ID 8490323
LAST UPDATED 2024-04-17 15:24:16 UTC
LAST UPDATED 2024-04-17 15:24:16 UTC
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