Indiana
Professional Licensing Agency
Latonya Y. Lewis
Radiology Provisional Permit
License number
XP502940
Date granted
10/29/2010
Date expires
04/29/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46635-1560
indianalicensing.org
ID 8495443
LAST UPDATED 2024-03-17 00:21:28 UTC
LAST UPDATED 2024-03-17 00:21:28 UTC
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