Indiana
Professional Licensing Agency
Dwight P. Coffman
Radiology Provisional Permit
License number
XP502346
Date granted
02/12/2010
Date expires
08/12/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Anderson IN 46012-9649
indianalicensing.org
ID 8488766
LAST UPDATED 2024-04-23 14:54:38 UTC
LAST UPDATED 2024-04-23 14:54:38 UTC
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