Indiana
Professional Licensing Agency
Lena J. Wichman
Radiology Provisional Permit
License number
XP505349
Date granted
02/28/2014
Date expires
08/28/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Newburgh IN 47630
indianalicensing.org
ID 29207324
LAST UPDATED 2024-02-25 10:12:11 UTC
LAST UPDATED 2024-02-25 10:12:11 UTC
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