Indiana
Professional Licensing Agency
Elizabeth M. Lasocki
Radiology Provisional Permit
License number
XP504635
Date granted
03/27/2013
Date expires
09/27/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Schererville IN 46375
indianalicensing.org
ID 8495183
LAST UPDATED 2024-05-03 23:36:11 UTC
LAST UPDATED 2024-05-03 23:36:11 UTC
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