Indiana
Professional Licensing Agency
Debra A. Bishop
Radiology Provisional Permit
License number
XP503078
Date granted
01/06/2011
Date expires
07/06/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Columbus IN 47203-2068
indianalicensing.org
ID 8489745
LAST UPDATED 2024-04-08 15:25:31 UTC
LAST UPDATED 2024-04-08 15:25:31 UTC
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