Indiana
Professional Licensing Agency
Keina M. Lanman
Radiology Provisional Permit
License number
XP505307
Date granted
02/12/2014
Date expires
08/12/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Dubois IN 47527
indianalicensing.org
ID 29206254
LAST UPDATED 2024-03-05 05:48:39 UTC
LAST UPDATED 2024-03-05 05:48:39 UTC
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