Indiana
Professional Licensing Agency
Lisa E. Smith
Radiology Provisional Permit
License number
XP503250
Date granted
03/08/2011
Date expires
09/08/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Lebanon IN 46052-1250
indianalicensing.org
ID 8493264
LAST UPDATED 2024-04-17 08:26:42 UTC
LAST UPDATED 2024-04-17 08:26:42 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.