Indiana
Professional Licensing Agency
Jordana C. Smith
Radiology Provisional Permit
License number
XP500182
Date granted
03/30/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 464031129
indianalicensing.org
ID 8491230
LAST UPDATED 2024-03-22 23:22:05 UTC
LAST UPDATED 2024-03-22 23:22:05 UTC
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