Indiana
Professional Licensing Agency
Holly S. Baker
Radiology Provisional Permit
License number
XP504756
Date granted
05/16/2013
Date expires
11/16/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46819
indianalicensing.org
ID 8490929
LAST UPDATED 2024-03-28 17:39:04 UTC
LAST UPDATED 2024-03-28 17:39:04 UTC
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