Indiana
Professional Licensing Agency
Holly Bement
Radiology Provisional Permit
License number
XP503816
Date granted
01/19/2012
Date expires
07/19/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46225
indianalicensing.org
ID 8492329
LAST UPDATED 2024-03-06 04:45:47 UTC
LAST UPDATED 2024-03-06 04:45:47 UTC
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