Indiana
Professional Licensing Agency
Donald L. Wcislak
Radiology Provisional Permit
License number
XP502156
Date granted
11/05/2009
Date expires
05/05/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46324-3226
indianalicensing.org
ID 8491758
LAST UPDATED 2026-05-03 20:28:17 UTC
LAST UPDATED 2026-05-03 20:28:17 UTC
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