Indiana
Professional Licensing Agency
Dorothy D. Weathers
Radiology Provisional Permit
License number
XP504599
Date granted
03/13/2013
Date expires
09/13/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46404
indianalicensing.org
ID 8491225
LAST UPDATED 2024-03-16 05:19:52 UTC
LAST UPDATED 2024-03-16 05:19:52 UTC
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