Indiana
Professional Licensing Agency
Jenna B. Talmage
Radiology Provisional Permit
License number
XP501868
Date granted
07/06/2009
Date expires
01/06/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Evansville IN 47715-6530
indianalicensing.org
ID 8490576
LAST UPDATED 2024-04-16 16:19:53 UTC
LAST UPDATED 2024-04-16 16:19:53 UTC
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