Indiana
Professional Licensing Agency
Farrah J. Seahorn
Radiology Provisional Permit
License number
XP500469
Date granted
10/06/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 464071356
indianalicensing.org
ID 8491219
LAST UPDATED 2024-04-17 05:27:26 UTC
LAST UPDATED 2024-04-17 05:27:26 UTC
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