Indiana
Professional Licensing Agency
Latasha N. Malone
Radiology Provisional Permit
License number
XP503508
Date granted
07/27/2011
Date expires
01/27/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Griffith IN 46319-1250
indianalicensing.org
ID 8491665
LAST UPDATED 2024-02-28 21:08:21 UTC
LAST UPDATED 2024-02-28 21:08:21 UTC
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