Indiana
Professional Licensing Agency
Erin Niman
Radiology Provisional Permit
License number
XP503927
Date granted
03/01/2012
Date expires
09/01/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46845
indianalicensing.org
ID 8490918
LAST UPDATED 2024-02-21 10:46:07 UTC
LAST UPDATED 2024-02-21 10:46:07 UTC
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