Indiana
Professional Licensing Agency
Jontunae D. Childs
Radiology Provisional Permit
License number
XP501490
Date granted
11/07/2008
Date expires
05/07/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Portage IN 46368-2121
indianalicensing.org
ID 8494859
LAST UPDATED 2024-02-15 22:37:47 UTC
LAST UPDATED 2024-02-15 22:37:47 UTC
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