Indiana
Professional Licensing Agency
Kimberly E. Hall
Radiology Provisional Permit
License number
XP502462
Date granted
03/22/2010
Date expires
09/22/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Pekin IN 47165-8343
indianalicensing.org
ID 8494680
LAST UPDATED 2024-02-21 17:22:20 UTC
LAST UPDATED 2024-02-21 17:22:20 UTC
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