Indiana
Professional Licensing Agency
Gretchen I. Lentz
Radiology Provisional Permit
License number
XP503387
Date granted
05/10/2011
Date expires
11/10/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46613-3128
indianalicensing.org
ID 8495420
LAST UPDATED 2024-04-26 03:57:45 UTC
LAST UPDATED 2024-04-26 03:57:45 UTC
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