Indiana
Professional Licensing Agency
Holly Mounts
Radiology Provisional Permit
License number
XP501666
Date granted
02/20/2009
Date expires
08/20/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Richmond IN 47374-9630
indianalicensing.org
ID 8494957
LAST UPDATED 2026-04-25 10:35:34 UTC
LAST UPDATED 2026-04-25 10:35:34 UTC
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