Indiana
Professional Licensing Agency
Haley S. Lothamer
Radiology Provisional Permit
License number
XP505085
Date granted
11/01/2013
Date expires
05/01/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Churubusco IN 46723
indianalicensing.org
ID 12405704
LAST UPDATED 2024-02-02 00:55:08 UTC
LAST UPDATED 2024-02-02 00:55:08 UTC
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