Indiana Licensing
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Status
Expired Non-Renewable
1
Category
Lead Designated Representative
1
Lead Project Supervisor
1
Osteopathic Physician
2
Physician
2
Radiology Provisional Permit
1
Location
Valparaiso
1
Gary
1
South Bend
1
Fort Wayne
1
Marion
1
Owensburg
1
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license holders
WILSON
Expired Non-Renewable
Radiology Provisional Permit
South Bend
Takea L. Wilson
Radiology Provisional Permit
South Bend
Expired Non-Renewable