Indiana
Professional Licensing Agency
Justin A. Perryman
Radiology Provisional Permit
License number
XP505688
Date granted
07/22/2014
Date expires
01/22/2015
Class
Radiology Provisional Permit
Status
Active
Address
Gary IN 46406
indianalicensing.org
ID 29206499
LAST UPDATED 2026-04-22 10:00:56 UTC
LAST UPDATED 2026-04-22 10:00:56 UTC
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