Indiana
Professional Licensing Agency
Marisa A. Scott
Radiology Provisional Permit
License number
XP501707
Date granted
03/18/2009
Date expires
09/18/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Wheatfield, IN 46402
indianalicensing.org
ID 8490163
LAST UPDATED 2024-05-07 20:29:37 UTC
LAST UPDATED 2024-05-07 20:29:37 UTC
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