Indiana
Professional Licensing Agency
Lacey N. Young
Radiology Provisional Permit
License number
XP505441
Date granted
03/26/2014
Date expires
09/26/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Kokomo IN 46901
indianalicensing.org
ID 29206938
LAST UPDATED 2024-04-17 20:05:00 UTC
LAST UPDATED 2024-04-17 20:05:00 UTC
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