Indiana
Professional Licensing Agency
Kisha M. Brooks
Radiology Provisional Permit
License number
XP505461
Date granted
04/04/2014
Date expires
10/04/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne, IN 46807
indianalicensing.org
ID 29206433
LAST UPDATED 2024-01-12 12:55:38 UTC
LAST UPDATED 2024-01-12 12:55:38 UTC
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