Indiana
Professional Licensing Agency
Derrick A. Smith
Radiology Provisional Permit
License number
XP503630
Date granted
09/21/2011
Date expires
03/21/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46404
indianalicensing.org
ID 8491211
LAST UPDATED 2024-03-26 15:13:08 UTC
LAST UPDATED 2024-03-26 15:13:08 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.