Indiana
Professional Licensing Agency
Lauren E. Sullivan
Radiology Provisional Permit
License number
XP504426
Date granted
12/10/2012
Date expires
06/10/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Terre Haute IN 47803
indianalicensing.org
ID 8495671
LAST UPDATED 2024-03-12 01:56:42 UTC
LAST UPDATED 2024-03-12 01:56:42 UTC
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