Indiana
Professional Licensing Agency
Kayla L. Sparks
Radiology Provisional Permit
License number
XP504280
Date granted
09/26/2012
Date expires
03/26/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Clarksville IN 47129
indianalicensing.org
ID 8489643
LAST UPDATED 2024-03-02 10:06:17 UTC
LAST UPDATED 2024-03-02 10:06:17 UTC
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