Indiana
Professional Licensing Agency
Maddison K. Wilson
Radiology Provisional Permit
License number
XP504204
Date granted
08/27/2012
Date expires
02/27/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Owensburg IN 47453
indianalicensing.org
ID 8494634
LAST UPDATED 2024-03-13 11:06:03 UTC
LAST UPDATED 2024-03-13 11:06:03 UTC
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