Indiana
Professional Licensing Agency
Dennis R. Wurm
Radiology Provisional Permit
License number
XP502639
Date granted
06/24/2010
Date expires
12/24/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Peru IN 46970-7756
indianalicensing.org
ID 8494719
LAST UPDATED 2026-05-26 15:27:50 UTC
LAST UPDATED 2026-05-26 15:27:50 UTC
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