Indiana
Professional Licensing Agency
Marlene J. Bolden
Radiology Provisional Permit
License number
XP505812
Date granted
08/25/2014
Date expires
02/25/2015
Class
Radiology Provisional Permit
Status
Active
Address
Hammond IN 46324
indianalicensing.org
ID 29206631
LAST UPDATED 2024-03-24 04:17:06 UTC
LAST UPDATED 2024-03-24 04:17:06 UTC
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