Indiana
Professional Licensing Agency
Mary A. Haag
Radiology Provisional Permit
License number
XP500283
Date granted
06/09/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Shoals IN 475819514
indianalicensing.org
ID 8495347
LAST UPDATED 2026-04-04 10:09:48 UTC
LAST UPDATED 2026-04-04 10:09:48 UTC
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