Indiana
Professional Licensing Agency
Lacie N. Williams
Radiology Provisional Permit
License number
XP502012
Date granted
09/30/2009
Date expires
03/30/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Muncie IN 47303-9020
indianalicensing.org
ID 8494056
LAST UPDATED 2024-04-29 18:24:41 UTC
LAST UPDATED 2024-04-29 18:24:41 UTC
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