Indiana
Professional Licensing Agency
Judy D. Rastovsky
Radiology Provisional Permit
License number
XP500131
Date granted
02/16/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Dyer IN 463110000
indianalicensing.org
ID 8490236
LAST UPDATED 2024-03-23 18:03:54 UTC
LAST UPDATED 2024-03-23 18:03:54 UTC
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