Indiana
Professional Licensing Agency
LeeAnn Payne
Radiology Provisional Permit
License number
XP502729
Date granted
08/18/2010
Date expires
02/18/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mooresville IN 46158
indianalicensing.org
ID 8492475
LAST UPDATED 2024-03-27 01:35:34 UTC
LAST UPDATED 2024-03-27 01:35:34 UTC
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