Indiana
Professional Licensing Agency
Evelena M. Howard
Radiology Provisional Permit
License number
XP504418
Date granted
12/03/2012
Date expires
06/03/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46619
indianalicensing.org
ID 8495440
LAST UPDATED 2024-02-07 17:40:11 UTC
LAST UPDATED 2024-02-07 17:40:11 UTC
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