Indiana
Professional Licensing Agency
Kelley E. Hoffman
Radiology Provisional Permit
License number
XP500597
Date granted
09/16/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Bloomington IN 474014486
indianalicensing.org
ID 8489102
LAST UPDATED 2024-03-05 14:02:28 UTC
LAST UPDATED 2024-03-05 14:02:28 UTC
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