Indiana
Professional Licensing Agency
Kristy A. Hauk
Radiology Provisional Permit
License number
XP502865
Date granted
10/04/2010
Date expires
04/04/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Connersville IN 47331-2210
indianalicensing.org
ID 8489799
LAST UPDATED 2024-05-12 07:35:10 UTC
LAST UPDATED 2024-05-12 07:35:10 UTC
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