Indiana
Professional Licensing Agency
Dina M. Mahaffey
Radiology Provisional Permit
License number
XP503437
Date granted
06/13/2011
Date expires
12/13/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307-3662
indianalicensing.org
ID 8489990
LAST UPDATED 2024-02-13 06:16:28 UTC
LAST UPDATED 2024-02-13 06:16:28 UTC
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