Indiana
Professional Licensing Agency
Marcie M. Patton
Radiology Provisional Permit
License number
XP505536
Date granted
05/07/2014
Date expires
11/07/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fortville IN 46040
indianalicensing.org
ID 29206465
LAST UPDATED 2024-03-04 19:56:21 UTC
LAST UPDATED 2024-03-04 19:56:21 UTC
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