Indiana
Professional Licensing Agency
Keri J. Sullivan
Radiology Provisional Permit
License number
XP503196
Date granted
02/21/2011
Date expires
08/21/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Palmyra IN 47164-8803
indianalicensing.org
ID 8494648
LAST UPDATED 2024-04-22 06:05:49 UTC
LAST UPDATED 2024-04-22 06:05:49 UTC
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