Indiana
Professional Licensing Agency
Diana K. Humphrey
Radiology Provisional Permit
License number
XP502834
Date granted
09/13/2010
Date expires
03/13/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Brownsburg IN 46112-2195
indianalicensing.org
ID 8489275
LAST UPDATED 2024-04-10 13:42:47 UTC
LAST UPDATED 2024-04-10 13:42:47 UTC
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