Indiana
Professional Licensing Agency
Jill S. Michalopoulos
Radiology Provisional Permit
License number
XP504014
Date granted
04/16/2012
Date expires
10/16/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307
indianalicensing.org
ID 8490006
LAST UPDATED 2024-04-15 07:29:59 UTC
LAST UPDATED 2024-04-15 07:29:59 UTC
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