Indiana
Professional Licensing Agency
Lynn A. Mellendorf
Radiology Provisional Permit
License number
XP500708
Date granted
07/03/2007
Date expires
01/03/2008
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Munster IN 46321
indianalicensing.org
ID 8494095
LAST UPDATED 2024-03-18 23:14:34 UTC
LAST UPDATED 2024-03-18 23:14:34 UTC
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