Indiana
Professional Licensing Agency
Elizabeth N. Shumaker
Radiology Provisional Permit
License number
XP503930
Date granted
03/06/2012
Date expires
09/06/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lake Station IN 46405
indianalicensing.org
ID 8493142
LAST UPDATED 2024-02-21 22:27:43 UTC
LAST UPDATED 2024-02-21 22:27:43 UTC
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