Indiana
Professional Licensing Agency
Latrecia M. Baskin
Radiology Provisional Permit
License number
XP504140
Date granted
07/03/2012
Date expires
01/03/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Elkhart IN 46517
indianalicensing.org
ID 8490440
LAST UPDATED 2026-04-06 02:33:21 UTC
LAST UPDATED 2026-04-06 02:33:21 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.