Indiana
Professional Licensing Agency
Judy A. Sullivan
Radiology Provisional Permit
License number
XP500473
Date granted
10/06/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 465442715
indianalicensing.org
ID 8493825
LAST UPDATED 2026-04-09 12:38:34 UTC
LAST UPDATED 2026-04-09 12:38:34 UTC
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