Indiana
Professional Licensing Agency
Demetria Timberlake
Radiology Provisional Permit
License number
XP502935
Date granted
10/28/2010
Date expires
04/28/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368-6515
indianalicensing.org
ID 8494825
LAST UPDATED 2024-02-23 05:45:31 UTC
LAST UPDATED 2024-02-23 05:45:31 UTC
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