Indiana
Professional Licensing Agency
Maria Kay Ault
Radiology Provisional Permit
License number
XP500212
Date granted
04/29/2005
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Vincennes IN 475913857
indianalicensing.org
ID 8495886
LAST UPDATED 2024-04-03 08:16:07 UTC
LAST UPDATED 2024-04-03 08:16:07 UTC
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