Indiana
Professional Licensing Agency
Harold I. Washington
Radiology Provisional Permit
License number
XP502548
Date granted
05/10/2010
Date expires
11/10/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46403-2233
indianalicensing.org
ID 8491222
LAST UPDATED 2026-06-18 10:08:41 UTC
LAST UPDATED 2026-06-18 10:08:41 UTC
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