Indiana
Professional Licensing Agency
Fern A. Baumer
Radiology Provisional Permit
License number
XP500266
Date granted
06/09/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Batesville IN 470067140
indianalicensing.org
ID 8488946
LAST UPDATED 2024-03-23 08:16:42 UTC
LAST UPDATED 2024-03-23 08:16:42 UTC
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