Indiana
Professional Licensing Agency
Lynette Durham
Radiology Provisional Permit
License number
XP501691
Date granted
03/17/2009
Date expires
09/17/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Highland IN 46322
indianalicensing.org
ID 8491992
LAST UPDATED 2024-02-08 06:26:26 UTC
LAST UPDATED 2024-02-08 06:26:26 UTC
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