Indiana
Professional Licensing Agency
Erika D. Lane
Radiology Provisional Permit
License number
XP502607
Date granted
06/11/2010
Date expires
12/11/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jasper IN 47546-3421
indianalicensing.org
ID 8492755
LAST UPDATED 2024-05-17 13:15:34 UTC
LAST UPDATED 2024-05-17 13:15:34 UTC
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