Indiana
Professional Licensing Agency
Jennifer L. McCallie
Radiology Provisional Permit
License number
XP500533
Date granted
12/30/2004
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greencastle IN 461357976
indianalicensing.org
ID 8491445
LAST UPDATED 2024-04-04 02:56:14 UTC
LAST UPDATED 2024-04-04 02:56:14 UTC
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