Indiana
Professional Licensing Agency
Lesa R. Kistler
Radiology Provisional Permit
License number
XP500117
Date granted
02/16/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jonesboro IN 469381112
indianalicensing.org
ID 8492906
LAST UPDATED 2024-02-05 17:33:25 UTC
LAST UPDATED 2024-02-05 17:33:25 UTC
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