Indiana
Professional Licensing Agency
Kathy A. Davis
Radiology Provisional Permit
License number
XP502348
Date granted
02/12/2010
Date expires
08/12/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46403-1559
indianalicensing.org
ID 8491237
LAST UPDATED 2024-03-25 02:33:25 UTC
LAST UPDATED 2024-03-25 02:33:25 UTC
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