Indiana
Professional Licensing Agency
DeLonza O. Hall, Jr.
Radiology Provisional Permit
License number
XP505045
Date granted
10/07/2013
Date expires
04/07/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46805
indianalicensing.org
ID 8490902
LAST UPDATED 2024-02-21 02:43:55 UTC
LAST UPDATED 2024-02-21 02:43:55 UTC
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