Indiana
Professional Licensing Agency
Laken M. Johnson
Radiology Provisional Permit
License number
XP505250
Date granted
01/28/2014
Date expires
07/28/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Brownstown IN 47220
indianalicensing.org
ID 29206040
LAST UPDATED 2024-03-19 08:42:08 UTC
LAST UPDATED 2024-03-19 08:42:08 UTC
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