Indiana
Professional Licensing Agency
Lisa C. Trivett
Radiology Provisional Permit
License number
XP501081
Date granted
03/28/2008
Date expires
09/28/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Plainfield IN 46168-9068
indianalicensing.org
ID 8494767
LAST UPDATED 2024-04-25 03:11:39 UTC
LAST UPDATED 2024-04-25 03:11:39 UTC
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