Indiana
Professional Licensing Agency
John C. Zukowski
Radiology Provisional Permit
License number
XP503353
Date granted
04/29/2011
Date expires
10/29/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46613-3447
indianalicensing.org
ID 8495428
LAST UPDATED 2024-04-30 02:04:38 UTC
LAST UPDATED 2024-04-30 02:04:38 UTC
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