Indiana
Professional Licensing Agency
Lauren K. Holl
Radiology Provisional Permit
License number
XP504005
Date granted
04/10/2012
Date expires
10/10/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Highland IN 46322
indianalicensing.org
ID 8491987
LAST UPDATED 2024-01-29 13:43:31 UTC
LAST UPDATED 2024-01-29 13:43:31 UTC
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