Indiana
Professional Licensing Agency
Laurie A. Capron
Radiology Provisional Permit
License number
XP500861
Date granted
11/01/2007
Date expires
05/01/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Valparaiso IN 46383-2720
indianalicensing.org
ID 8495811
LAST UPDATED 2024-04-09 21:18:14 UTC
LAST UPDATED 2024-04-09 21:18:14 UTC
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