Indiana
Professional Licensing Agency
Gina D. Hostetler
Radiology Provisional Permit
License number
XP500436
Date granted
11/04/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lafayette IN 479098173
indianalicensing.org
ID 8493113
LAST UPDATED 2024-03-01 19:54:59 UTC
LAST UPDATED 2024-03-01 19:54:59 UTC
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