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 2024-02-07 17:09:14 UTC
LAST UPDATED 2024-02-07 17:09:14 UTC
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