Indiana
Professional Licensing Agency
Macy J. Lighty
Radiology Provisional Permit
License number
XP505961
Date granted
10/21/2014
Date expires
04/21/2015
Class
Radiology Provisional Permit
Status
Active
Address
Fairmount IN 46928
indianalicensing.org
ID 29206367
LAST UPDATED 2026-05-05 14:58:55 UTC
LAST UPDATED 2026-05-05 14:58:55 UTC
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