Indiana
Professional Licensing Agency
Gina R. Farmer
Radiology Provisional Permit
License number
XP504881
Date granted
08/05/2013
Date expires
02/05/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salem IN 47167
indianalicensing.org
ID 8495111
LAST UPDATED 2024-05-06 02:58:40 UTC
LAST UPDATED 2024-05-06 02:58:40 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.