Indiana
Professional Licensing Agency
Kistin M. Coomer
Radiology Provisional Permit
License number
XP503893
Date granted
02/16/2012
Date expires
08/16/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Castle IN 47362
indianalicensing.org
ID 8494247
LAST UPDATED 2024-05-04 18:34:43 UTC
LAST UPDATED 2024-05-04 18:34:43 UTC
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