Indiana
Professional Licensing Agency
Heather A. Mayabb
Radiology Provisional Permit
License number
XP504219
Date granted
08/29/2012
Date expires
08/09/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
West Lafayette IN 47906
indianalicensing.org
ID 8495995
LAST UPDATED 2024-05-02 06:58:10 UTC
LAST UPDATED 2024-05-02 06:58:10 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.