Indiana
Professional Licensing Agency
Lisa L. Beeman
Radiology Provisional Permit
License number
XP505153
Date granted
01/14/2014
Date expires
07/14/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Kokomo IN 46901
indianalicensing.org
ID 29206946
LAST UPDATED 2024-04-07 12:33:45 UTC
LAST UPDATED 2024-04-07 12:33:45 UTC
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