Indiana
Professional Licensing Agency
Justyn A. Arch
Radiology Provisional Permit
License number
XP502239
Date granted
12/18/2009
Date expires
06/18/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 46385-8833
indianalicensing.org
ID 8495802
LAST UPDATED 2024-02-20 22:15:10 UTC
LAST UPDATED 2024-02-20 22:15:10 UTC
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