Indiana
Professional Licensing Agency
Marcie A. Mahuron
Radiology Provisional Permit
License number
XP502654
Date granted
07/07/2010
Date expires
01/07/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jeffersonville IN 47130-9507
indianalicensing.org
ID 8492842
LAST UPDATED 2024-04-29 16:12:54 UTC
LAST UPDATED 2024-04-29 16:12:54 UTC
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