Indiana
Professional Licensing Agency
Kesha D. Booth
Radiology Provisional Permit
License number
XP503302
Date granted
04/07/2011
Date expires
10/07/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fairland IN 46126-9789
indianalicensing.org
ID 8490677
LAST UPDATED 2024-04-01 18:08:32 UTC
LAST UPDATED 2024-04-01 18:08:32 UTC
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