Indiana
Professional Licensing Agency
Jana Cook
Radiology Provisional Permit
License number
XP504176
Date granted
08/10/2012
Date expires
02/10/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elizabeth IN 47117
indianalicensing.org
ID 8490348
LAST UPDATED 2024-03-29 01:56:20 UTC
LAST UPDATED 2024-03-29 01:56:20 UTC
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