Indiana
Professional Licensing Agency
Laci N. Isaacs
Radiology Provisional Permit
License number
XP503119
Date granted
01/26/2011
Date expires
07/26/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Hagerstown IN 47346-9625
indianalicensing.org
ID 8491713
LAST UPDATED 2024-03-15 11:17:12 UTC
LAST UPDATED 2024-03-15 11:17:12 UTC
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