Indiana
Professional Licensing Agency
Kaila A. Gorman
Radiology Provisional Permit
License number
XP504484
Date granted
02/05/2013
Date expires
08/05/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Castle IN 47362
indianalicensing.org
ID 8494240
LAST UPDATED 2024-05-07 23:05:35 UTC
LAST UPDATED 2024-05-07 23:05:35 UTC
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