Indiana
Professional Licensing Agency
Denise Walters
Radiology Provisional Permit
License number
XP503279
Date granted
03/30/2011
Date expires
09/30/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Westfield IN 46074-9620
indianalicensing.org
ID 8496021
LAST UPDATED 2024-05-02 14:23:06 UTC
LAST UPDATED 2024-05-02 14:23:06 UTC
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