Indiana
Professional Licensing Agency
Julie A. Seville
Radiology Provisional Permit
License number
XP504163
Date granted
07/27/2012
Date expires
01/27/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Crown Point IN 46307
indianalicensing.org
ID 8490008
LAST UPDATED 2024-04-29 20:08:09 UTC
LAST UPDATED 2024-04-29 20:08:09 UTC
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