Indiana
Professional Licensing Agency
Mary A. Deheer
Radiology Provisional Permit
License number
XP503842
Date granted
02/01/2012
Date expires
08/01/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Anderson IN 46011
indianalicensing.org
ID 8488804
LAST UPDATED 2026-04-01 06:31:41 UTC
LAST UPDATED 2026-04-01 06:31:41 UTC
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