Indiana
Professional Licensing Agency
Mariah M. Body
Radiology Provisional Permit
License number
XP502066
Date granted
10/20/2009
Date expires
04/20/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46803-4020
indianalicensing.org
ID 8491005
LAST UPDATED 2024-03-05 15:41:08 UTC
LAST UPDATED 2024-03-05 15:41:08 UTC
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