Indiana
Professional Licensing Agency
Lori L. Peterson
Radiology Provisional Permit
License number
XP502879
Date granted
10/04/2010
Date expires
04/04/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Clarksville IN 47129-9148
indianalicensing.org
ID 8489656
LAST UPDATED 2026-04-18 20:09:36 UTC
LAST UPDATED 2026-04-18 20:09:36 UTC
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