Indiana
Professional Licensing Agency
Fawn L. Childers
Radiology Provisional Permit
License number
XP502258
Date granted
01/13/2010
Date expires
07/13/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salem IN 47167-9010
indianalicensing.org
ID 8495116
LAST UPDATED 2024-02-28 22:36:18 UTC
LAST UPDATED 2024-02-28 22:36:18 UTC
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