Indiana
Professional Licensing Agency
Ja'Tia D. Maclin
Radiology Provisional Permit
License number
XP504568
Date granted
02/25/2013
Date expires
08/25/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46403
indianalicensing.org
ID 8491223
LAST UPDATED 2024-04-11 10:42:07 UTC
LAST UPDATED 2024-04-11 10:42:07 UTC
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