Indiana
Professional Licensing Agency
Luz C. Stofer
Radiology Provisional Permit
License number
XP504050
Date granted
04/25/2012
Date expires
10/25/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46239
indianalicensing.org
ID 8492498
LAST UPDATED 2026-06-02 04:28:56 UTC
LAST UPDATED 2026-06-02 04:28:56 UTC
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