Indiana
Professional Licensing Agency
Jean Rine
Radiology Provisional Permit
License number
XP504218
Date granted
08/28/2012
Date expires
02/28/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fillmore IN 46128
indianalicensing.org
ID 8490710
LAST UPDATED 2026-04-09 11:39:45 UTC
LAST UPDATED 2026-04-09 11:39:45 UTC
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