Indiana
Professional Licensing Agency
Kacie L. Grimmitt
Radiology Provisional Permit
License number
XP500166
Date granted
03/30/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46259
indianalicensing.org
ID 8492395
LAST UPDATED 2024-04-30 10:07:17 UTC
LAST UPDATED 2024-04-30 10:07:17 UTC
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