Indiana
Professional Licensing Agency
Lexus R. Fultz
Radiology Provisional Permit
License number
XP505580
Date granted
05/29/2014
Date expires
11/29/2014
Class
Radiology Provisional Permit
Status
Active
Address
Fountain City IN 47341
indianalicensing.org
ID 29206467
LAST UPDATED 2024-04-02 03:32:36 UTC
LAST UPDATED 2024-04-02 03:32:36 UTC
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