Indiana
Professional Licensing Agency
Joseph D. Davis
Radiology Provisional Permit
License number
XP502245
Date granted
12/22/2009
Date expires
06/22/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lake Station IN 46405-2432
indianalicensing.org
ID 8493151
LAST UPDATED 2024-03-08 02:06:33 UTC
LAST UPDATED 2024-03-08 02:06:33 UTC
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