Indiana
Professional Licensing Agency
Julie A Farmer
Radiology Provisional Permit
License number
XP505018
Date granted
10/02/2013
Date expires
04/02/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Sheridan IN 46069
indianalicensing.org
ID 8495334
LAST UPDATED 2024-02-21 03:27:53 UTC
LAST UPDATED 2024-02-21 03:27:53 UTC
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