Indiana
Professional Licensing Agency
Julia R. Lewis
Radiology Provisional Permit
License number
XP503680
Date granted
10/05/2011
Date expires
04/05/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Scottsburg IN 47170
indianalicensing.org
ID 8495125
LAST UPDATED 2026-04-21 15:42:39 UTC
LAST UPDATED 2026-04-21 15:42:39 UTC
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