Indiana
Professional Licensing Agency
Loretta M. Bolde
Radiology Provisional Permit
License number
XP500314
Date granted
08/04/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Rensselaer IN 479788604
indianalicensing.org
ID 8494927
LAST UPDATED 2024-02-17 11:19:24 UTC
LAST UPDATED 2024-02-17 11:19:24 UTC
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