Indiana
Professional Licensing Agency
Heaven L. Johnson
Radiology Provisional Permit
License number
XP500714
Date granted
07/16/2007
Date expires
02/14/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Salem IN 47167-9618
indianalicensing.org
ID 8495117
LAST UPDATED 2024-05-11 07:46:27 UTC
LAST UPDATED 2024-05-11 07:46:27 UTC
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