Indiana
Professional Licensing Agency
Katharine A. Johnson
Radiology Provisional Permit
License number
XP505870
Date granted
09/29/2014
Date expires
03/29/2015
Class
Radiology Provisional Permit
Status
Active
Address
Carmel IN 46032
indianalicensing.org
ID 29206064
LAST UPDATED 2024-03-04 07:41:07 UTC
LAST UPDATED 2024-03-04 07:41:07 UTC
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