Indiana
Professional Licensing Agency
Latanza C. Holman
Radiology Provisional Permit
License number
XP502983
Date granted
11/10/2010
Date expires
05/10/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elkhart IN 46514-3412
indianalicensing.org
ID 8490438
LAST UPDATED 2024-04-02 22:23:17 UTC
LAST UPDATED 2024-04-02 22:23:17 UTC
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