Indiana
Professional Licensing Agency
Gloria Ball
Radiology Provisional Permit
License number
XP503798
Date granted
12/20/2011
Date expires
06/20/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salem IN 47167
indianalicensing.org
ID 8495122
LAST UPDATED 2024-02-27 01:22:42 UTC
LAST UPDATED 2024-02-27 01:22:42 UTC
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