Indiana
Professional Licensing Agency
Keriann M. Lents
Radiology Provisional Permit
License number
XP505308
Date granted
02/12/2014
Date expires
08/12/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Loogootee IN 47553
indianalicensing.org
ID 29207037
LAST UPDATED 2024-03-16 17:18:20 UTC
LAST UPDATED 2024-03-16 17:18:20 UTC
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