Indiana
Professional Licensing Agency
Elijah J. Terrell
Radiology Provisional Permit
License number
XP505503
Date granted
04/25/2014
Date expires
10/25/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Pekin IN 47165
indianalicensing.org
ID 29207403
LAST UPDATED 2024-03-06 19:53:37 UTC
LAST UPDATED 2024-03-06 19:53:37 UTC
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