Indiana
Professional Licensing Agency
Denise D. Woertz
Radiology Provisional Permit
License number
XP504837
Date granted
07/12/2013
Date expires
01/12/2014
Class
Radiology Provisional Permit
Status
Superceded
Address
Depauw IN 47115
indianalicensing.org
ID 8490171
LAST UPDATED 2026-03-24 03:11:23 UTC
LAST UPDATED 2026-03-24 03:11:23 UTC
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