Indiana
Professional Licensing Agency
Ivory G. Hicks
Radiology Provisional Permit
License number
XP504155
Date granted
07/16/2012
Date expires
01/16/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Floyds Knobs IN 47119
indianalicensing.org
ID 8490822
LAST UPDATED 2024-03-20 13:35:39 UTC
LAST UPDATED 2024-03-20 13:35:39 UTC
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