Indiana
Professional Licensing Agency
Kristian A. Brisco-Holliday
Radiology Provisional Permit
License number
XP502354
Date granted
02/12/2010
Date expires
08/12/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46404-3424
indianalicensing.org
ID 8491241
LAST UPDATED 2024-04-13 06:33:05 UTC
LAST UPDATED 2024-04-13 06:33:05 UTC
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