Indiana
Professional Licensing Agency
Ebonee D Watford
Radiology Provisional Permit
License number
XP502984
Date granted
11/10/2010
Date expires
05/10/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46615-3212
indianalicensing.org
ID 8495413
LAST UPDATED 2024-02-23 07:22:22 UTC
LAST UPDATED 2024-02-23 07:22:22 UTC
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