Indiana
Professional Licensing Agency
Mara J. Langsdon
Radiology Provisional Permit
License number
XP500412
Date granted
04/25/2007
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Charlestown IN 471111872
indianalicensing.org
ID 8489567
LAST UPDATED 2026-05-04 04:14:29 UTC
LAST UPDATED 2026-05-04 04:14:29 UTC
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