Indiana
Professional Licensing Agency
Holly Zollinger
Radiology Provisional Permit
License number
XP505204
Date granted
01/17/2014
Date expires
07/17/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46818
indianalicensing.org
ID 29206425
LAST UPDATED 2024-02-17 09:04:53 UTC
LAST UPDATED 2024-02-17 09:04:53 UTC
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