Indiana
Professional Licensing Agency
Della Crawford
Radiology Provisional Permit
License number
XP500214
Date granted
04/29/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150-7281
indianalicensing.org
ID 8494141
LAST UPDATED 2026-04-19 00:38:54 UTC
LAST UPDATED 2026-04-19 00:38:54 UTC
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