Indiana
Professional Licensing Agency
Lacy D. Cripps
Radiology Provisional Permit
License number
XP501610
Date granted
01/30/2009
Date expires
07/30/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Spiceland IN 47385-9787
indianalicensing.org
ID 8495536
LAST UPDATED 2024-03-28 15:31:33 UTC
LAST UPDATED 2024-03-28 15:31:33 UTC
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