Indiana
Professional Licensing Agency
Lisa M. Desper-Holmes
Radiology Provisional Permit
License number
XP500015
Date granted
05/25/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Greencastle IN 461351407
indianalicensing.org
ID 8491448
LAST UPDATED 2024-02-22 00:16:42 UTC
LAST UPDATED 2024-02-22 00:16:42 UTC
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