Indiana
Professional Licensing Agency
Josephine A Bontrager
Radiology Provisional Permit
License number
XP505693
Date granted
07/23/2014
Date expires
01/23/2015
Class
Radiology Provisional Permit
Status
Active
Address
Peru IN 46970
indianalicensing.org
ID 29207420
LAST UPDATED 2024-03-15 10:29:15 UTC
LAST UPDATED 2024-03-15 10:29:15 UTC
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