Indiana
Professional Licensing Agency
Johnda L. Fish
Radiology Provisional Permit
License number
XP502085
Date granted
10/26/2009
Date expires
04/26/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46241-4739
indianalicensing.org
ID 8492381
LAST UPDATED 2024-04-03 02:31:28 UTC
LAST UPDATED 2024-04-03 02:31:28 UTC
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