Indiana
Professional Licensing Agency
Jane L. Funk
Radiology Provisional Permit
License number
XP503699
Date granted
10/25/2011
Date expires
04/25/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Carmel IN 46033
indianalicensing.org
ID 8489427
LAST UPDATED 2024-04-04 02:42:52 UTC
LAST UPDATED 2024-04-04 02:42:52 UTC
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