Indiana
Professional Licensing Agency
Kayla Z. Smith
Radiology Provisional Permit
License number
XP505142
Date granted
12/31/2013
Date expires
06/30/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lake Station IN 46405
indianalicensing.org
ID 29206984
LAST UPDATED 2024-02-21 15:10:05 UTC
LAST UPDATED 2024-02-21 15:10:05 UTC
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