Indiana
Professional Licensing Agency
Leonida D. Hiatt
Radiology Provisional Permit
License number
XP500722
Date granted
07/16/2007
Date expires
01/16/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46229-3069
indianalicensing.org
ID 8492480
LAST UPDATED 2026-06-04 05:52:16 UTC
LAST UPDATED 2026-06-04 05:52:16 UTC
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