Indiana
Professional Licensing Agency
Deanna J. Stephens
Radiology Provisional Permit
License number
XP503970
Date granted
03/28/2012
Date expires
09/28/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bloomington IN 47404
indianalicensing.org
ID 8489078
LAST UPDATED 2024-04-09 12:12:37 UTC
LAST UPDATED 2024-04-09 12:12:37 UTC
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