Indiana
Professional Licensing Agency
Juanita S. Scott-Woodward
Radiology Provisional Permit
License number
XP501168
Date granted
05/14/2008
Date expires
11/14/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hammond IN 46323-2746
indianalicensing.org
ID 8491779
LAST UPDATED 2024-04-21 02:45:21 UTC
LAST UPDATED 2024-04-21 02:45:21 UTC
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